Berg, Brandon
Berg, Brandon is an sole proprietor health care provider with primary practice located at 4303 W 24Th Ave , Kennewick WA 99338-1963. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Berg, Brandon can be contacted via phone (509) 572-3836.Contact Information
Primary practice address
4303 W 24Th Ave
Kennewick WA 99338-1963
Phone: (509) 572-3836
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3156-19 | Washington |
Profile Details
| NPI number | 1629828165 |
|---|---|
| LBN Legal business name | Berg, Brandon |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2024 |
| Last updated | Mar 26th, 2024 - 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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