Lane, Brian Garrett

Lane, Brian Garrett is an sole proprietor health care provider with primary practice located at 699 Bloomfield Ave , Bloomfield CT 06002-2462. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lane, Brian Garrett can be contacted via phone (860) 392-9990.

Contact Information

Primary practice address
699 Bloomfield Ave Bloomfield CT 06002-2462
Phone: (860) 392-9990
Fax: (860) 243-6591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6808 Connecticut

Profile Details

NPI number 1689744062
LBN Legal business name Lane, Brian Garrett
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Jul 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689744062 NPPES
California Other WSW22474B MEDICARE PPIN

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