Shore, Brett I.
Shore, Brett I. is an individual health care provider with primary practice located at 4551 Glencoe Ave Ste 145 , Marina Del Rey CA 90292-6385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Shore, Brett I. can be contacted via phone (888) 778-5000.Contact Information
Primary practice address
4551 Glencoe Ave Ste 145
Marina Del Rey CA 90292-6385
Phone: (888) 778-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A120811 | California |
Profile Details
| NPI number | 1578699989 |
|---|---|
| LBN Legal business name | Shore, Brett I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 12th, 2024 - about last year |
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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