Brand, John Carlyn
Brand, John Carlyn is an individual health care provider with primary practice located at 1057 Medical Park Dr , Osage Beach MO 65065-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brand, John Carlyn can be contacted via phone (573) 302-3100.Contact Information
Primary practice address
1057 Medical Park Dr
Osage Beach MO 65065-3000
Phone: (573) 302-3100
Fax: (573) 348-8279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2011012163 | Missouri |
Profile Details
| NPI number | 1144451774 |
|---|---|
| LBN Legal business name | Brand, John Carlyn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2009 |
| Last updated | Dec 15th, 2017 - about 7 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 | 1144451774 | NPPES |
| Missouri | Other | 2011012163 | MO STATE LICENSE |
| Missouri | MEDICAID | 1144451774 | MO STATE LICENSE |
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