Gault, Brian Willie

Gault, Brian Willie is an individual health care provider with primary practice located at 605 5Th St , Modesto CA 95351-3316. He recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as his primary health care specialty. Gault, Brian Willie can be contacted via phone (209) 341-0718.

Contact Information

Primary practice address
605 5Th St Modesto CA 95351-3316
Phone: (209) 341-0718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1982269585
LBN Legal business name Gault, Brian Willie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2019
Last updated May 8th, 2019 - about 7 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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