Mr. Philip John Brereton
Podiatrist
466 E Harding Way
Stockton
, California 95204
Mr. Philip John Brereton
Podiatrist
466 E Harding Way
Stockton
, California 95204
(775) 323-1234
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Mr. Philip John Brereton
- 961 Matley Ln Ste 100
- Reno, NV
- Zip : 89502-2100
- Fax : (775) 323-1234
- Phone : (775) 323-8118
Second Address
- Mr. Philip John Brereton
- 466 E Harding Way
- Stockton, CA
- Zip : 95204
- Phone : (209) 466-2546
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | C52250 | NV |
| Y | 222Z00000X | Podiatrist | C52250 | NV |
National Provider Identifier
| NPI | 1033565544 |
|---|---|
| Provider Name | Mr. Philip John Brereton |
| First Address | Reno, NV 89502-2100 |
| Second Address | Stockton, CA 95204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2016 |
| Last Update Date | 13/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.