Sewell, Brian

Sewell, Brian is an individual health care provider with primary practice located at 13801 E Benson Hwy , Vail AZ 85641-9074. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Sewell, Brian can be contacted via phone (520) 879-2052.

Contact Information

Primary practice address
13801 E Benson Hwy Vail AZ 85641-9074
Phone: (520) 879-2052
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4256236 Arizona

Profile Details

NPI number 1700192473
LBN Legal business name Sewell, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2010
Last updated Aug 19th, 2010 - about 16 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 1700192473 NPPES
Arizona MEDICAID 897001

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