Alonso, Bryant
Alonso, Bryant is an sole proprietor health care provider with primary practice located at 2941 N Ashley St , Valdosta GA 31602-5945. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Alonso, Bryant can be contacted via phone (229) 253-8500.Contact Information
Primary practice address
2941 N Ashley St
Valdosta GA 31602-5945
Phone: (229) 253-8500
Fax: (229) 253-8522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT006569 | Georgia |
Profile Details
| NPI number | 1790234946 |
|---|---|
| LBN Legal business name | Alonso, Bryant |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2016 |
| Last updated | Sep 29th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790234946 | NPPES |
| Georgia | Other | OT006569 | GEORGIA SECRETARY OF STATE |
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