Branch, Jim
Branch, Jim is an sole proprietor health care provider with primary practice located at 4319 S Ridgewood Ave , Port Orange FL 32127-4522. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Branch, Jim can be contacted via phone (386) 451-5126.Contact Information
Primary practice address
4319 S Ridgewood Ave
Port Orange FL 32127-4522
Phone: (386) 451-5126
Fax: (386) 756-7518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW0607 | Florida |
Profile Details
| NPI number | 1629127345 |
|---|---|
| LBN Legal business name | Branch, Jim |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| 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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