Kornish, Brent

Kornish, Brent is an individual health care provider with primary practice located at 1225 Oakdale Rd , Modesto CA 95355-3357. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kornish, Brent can be contacted via phone (209) 557-6200.

Contact Information

Primary practice address
1225 Oakdale Rd Modesto CA 95355-3357
Phone: (209) 557-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1578939872
LBN Legal business name Kornish, Brent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2015
Last updated Aug 20th, 2015 - about 11 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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