Provence, Brett Allen
Provence, Brett Allen is an individual health care provider with primary practice located at 1011 Baldwin Park Blvd 4 East Hospitalist Office, Baldwin Park CA 91706-5806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Provence, Brett Allen can be contacted via phone (626) 851-1011.Contact Information
Primary practice address
1011 Baldwin Park Blvd 4 East Hospitalist Office
Baldwin Park CA 91706-5806
Phone: (626) 851-1011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 20A11220 | California |
Profile Details
| NPI number | 1003048026 |
|---|---|
| LBN Legal business name | Provence, Brett Allen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2009 |
| Last updated | Dec 1st, 2021 - about 5 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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