Balcolm, Brian Russell

Balcolm, Brian Russell is an individual health care provider with primary practice located at 57950 Leavenworth St , Mcconnell Afb KS 67221-3505. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Balcolm, Brian Russell can be contacted via phone (316) 759-6300.

Contact Information

Primary practice address
57950 Leavenworth St Mcconnell Afb KS 67221-3505
Phone: (316) 759-6300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1205110368
LBN Legal business name Balcolm, Brian Russell
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Jul 10th, 2023 - 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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