Blacka, Brandon
Blacka, Brandon is an individual health care provider with primary practice located at 800 N 100 E , Spanish Fork UT 84660-5577. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Blacka, Brandon can be contacted via phone (801) 504-6125.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 9353585-4701 | Utah |
Profile Details
| NPI number | 1992216105 |
|---|---|
| LBN Legal business name | Blacka, Brandon |
| Credentials | MHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2017 |
| Last updated | Oct 14th, 2017 - about 8 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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