Mccleve, Bryan R
Mccleve, Bryan R is an sole proprietor health care provider with primary practice located at 16325 Oakhurst Dr , Monte Sereno CA 95030-4170. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mccleve, Bryan R can be contacted via phone (831) 566-2407.Contact Information
Primary practice address
16325 Oakhurst Dr
Monte Sereno CA 95030-4170
Phone: (831) 566-2407
Fax: (831) 763-9799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G75967 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 75967 | California |
Profile Details
| NPI number | 1033123369 |
|---|---|
| LBN Legal business name | Mccleve, Bryan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Oct 20th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033123369 | NPPES |
| California | MEDICAID | 00G759670 |
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