Brandon, Joshua
Brandon, Joshua is an individual health care provider with primary practice located at 3555 S National Ave , Springfield MO 65807-7310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Brandon, Joshua can be contacted via phone (417) 875-3800.Contact Information
Primary practice address
3555 S National Ave
Springfield MO 65807-7310
Phone: (417) 875-3800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 2020033532 | Missouri |
Profile Details
NPI number | 1023472511 |
---|---|
LBN Legal business name | Brandon, Joshua |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2016 |
Last updated | Feb 15th, 2022 - about 3 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 | 1023472511 | NPPES |
Missouri | MEDICAID | 200072741 |
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