Brand, David Lee
Brand, David Lee is an sole proprietor health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brand, David Lee can be contacted via phone (765) 747-3111.Contact Information
Primary practice address
2401 W University Ave
Muncie IN 47303-3428
Phone: (765) 747-3111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | BB3565162 | Indiana |
Profile Details
| NPI number | 1972719755 |
|---|---|
| LBN Legal business name | Brand, David Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2007 |
| Last updated | Dec 18th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972719755 | NPPES |
| Indiana | MEDICAID | 200109690 | |
| Indiana | Other | 000001006110 |
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