Brackney, Randall Scott

Brackney, Randall Scott is an individual health care provider with primary practice located at 220 N Patterson Blvd , Dayton OH 45402-1271. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Brackney, Randall Scott can be contacted via phone (937) 228-2287.

Contact Information

Primary practice address
220 N Patterson Blvd Dayton OH 45402-1271
Phone: (937) 228-2287
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36000387A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT 002171 Ohio

Profile Details

NPI number 1396709408
LBN Legal business name Brackney, Randall Scott
Credentials ATC/LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396709408 NPPES
Indiana Other 36000387A ATHLETIC TRAINERS LICENSE
Indiana Other AT 002171 ATHLETIC TRAINERS LICENSE

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