Barksdale, Brandon

Barksdale, Brandon is an individual health care provider with primary practice located at 129 W 108Th St , Chicago IL 60628-3452. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Barksdale, Brandon can be contacted via phone (773) 568-0884.

Contact Information

Primary practice address
129 W 108Th St Chicago IL 60628-3452
Phone: (773) 568-0884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1629020128
LBN Legal business name Barksdale, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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