Brackenrich, Jared

Brackenrich, Jared is an sole proprietor health care provider with primary practice located at 3706 S Main St , Blacksburg VA 24060-7006. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Brackenrich, Jared can be contacted via phone (540) 951-3376.

Contact Information

Primary practice address
3706 S Main St Blacksburg VA 24060-7006
Phone: (540) 951-3376
Fax: (540) 951-1276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0102206597 Virginia

Profile Details

NPI number 1518498039
LBN Legal business name Brackenrich, Jared
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2017
Last updated Aug 18th, 2021 - about 3 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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