Center, Brian C
Center, Brian C is an individual health care provider with primary practice located at 2100 State Ave , Panama City FL 32405-4587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Center, Brian C can be contacted via phone (850) 763-0036.Contact Information
Primary practice address
2100 State Ave
Panama City FL 32405-4587
Phone: (850) 763-0036
Fax: (850) 763-0259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 29354 | Alabama |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2007-01477 | North Carolina |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME170118 | Florida |
Profile Details
| NPI number | 1790908796 |
|---|---|
| LBN Legal business name | Center, Brian C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Oct 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790908796 | NPPES |
| Georgia | MEDICAID | 333480282A | |
| Georgia | Other | 8190764 | |
| Georgia | MEDICAID | 123828600 | |
| Georgia | MEDICAID | 108200 | |
| Georgia | Other | 511-18120 | |
| Georgia | MEDICAID | 109082 | |
| Georgia | MEDICAID | 130058 | |
| Georgia | Other | P01652621 |
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