Brakeville, Ross Joseph
Brakeville, Ross Joseph is an individual health care provider with primary practice located at 2300 Kinsale Point , Kennesaw GA 30152-6756. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Brakeville, Ross Joseph can be contacted via phone (678) 469-3007.Contact Information
Primary practice address
2300 Kinsale Point
Kennesaw GA 30152-6756
Phone: (678) 469-3007
Fax: (404) 350-9405
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 002536 | Georgia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 002536 | Georgia |
Profile Details
NPI number | 1013997139 |
---|---|
LBN Legal business name | Brakeville, Ross Joseph |
Credentials | D.P.T. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2006 |
Last updated | Jun 13th, 2024 - about 3 months 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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