Brandon, Albert R

Brandon, Albert R is an individual health care provider with primary practice located at 482 Interstate Dr Ste A, Manchester TN 37355-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brandon, Albert R can be contacted via phone (931) 728-4718.

Contact Information

Primary practice address
482 Interstate Dr Ste A Manchester TN 37355-3109
Phone: (931) 728-4718
Fax: (931) 728-1016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 212 Tennessee

Profile Details

NPI number 1376570424
LBN Legal business name Brandon, Albert R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 1st, 2011 - about 14 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 1376570424 NPPES
Other 4107876 BC
MEDICAID 37-30155 BC

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