Antonissen, Brandon
Antonissen, Brandon is an sole proprietor health care provider with primary practice located at 5 Journey Ste 100 , Aliso Viejo CA 92656-5330. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Antonissen, Brandon can be contacted via phone (949) 228-1147.Contact Information
Primary practice address
5 Journey Ste 100
Aliso Viejo CA 92656-5330
Phone: (949) 228-1147
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 34287 | California |
Profile Details
| NPI number | 1063991354 |
|---|---|
| LBN Legal business name | Antonissen, Brandon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2018 |
| Last updated | Jul 26th, 2019 - about 6 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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