Fornwalt, Brandon Eugene

Fornwalt, Brandon Eugene is an individual health care provider with primary practice located at 18699 N 67Th Ave Ste 300 , Glendale AZ 85308-7149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fornwalt, Brandon Eugene can be contacted via phone (623) 566-4718.

Contact Information

Primary practice address
18699 N 67Th Ave Ste 300 Glendale AZ 85308-7149
Fax: (523) 566-4820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 009926 Arizona

Profile Details

NPI number 1912407172
LBN Legal business name Fornwalt, Brandon Eugene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2018
Last updated Jul 3rd, 2023 - 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.

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