Kitzerow, Brian James

Kitzerow, Brian James is an individual health care provider with primary practice located at 2005 W Main St Ste 140 , Battle Ground WA 98604-4311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kitzerow, Brian James can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
2005 W Main St Ste 140 Battle Ground WA 98604-4311
Phone: (360) 882-2778
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05889 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60682696 Washington

Profile Details

NPI number 1063743748
LBN Legal business name Kitzerow, Brian James
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2010
Last updated Mar 2nd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063743748 NPPES
Washington MEDICAID 2091984

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