Brack, William

Brack, William is an individual health care provider with primary practice located at 133 N River St , Wilkes Barre PA 18711-0800. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Brack, William can be contacted via phone (888) 546-4772.

Contact Information

Primary practice address
133 N River St Wilkes Barre PA 18711-0800
Phone: (888) 546-4772
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1770065310
LBN Legal business name Brack, William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Aug 30th, 2018 - 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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