Pendleberry, Brian Scott

Pendleberry, Brian Scott is an individual health care provider with primary practice located at 1722 S Lewis Rd , Camarillo CA 93012-8520. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Pendleberry, Brian Scott can be contacted via phone (805) 445-7800.

Contact Information

Primary practice address
1722 S Lewis Rd Camarillo CA 93012-8520
Phone: (805) 445-7800
Fax: (805) 445-7830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT24244 California

Profile Details

NPI number 1467586214
LBN Legal business name Pendleberry, Brian Scott
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 19 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 1467586214 NPPES
California Other PT24244 LICENSE

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