Brandt, Charles Phillip

Brandt, Charles Phillip is an individual health care provider with primary practice located at 101 E Blount Ave Ste 800 , Knoxville TN 37920-1669. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brandt, Charles Phillip can be contacted via phone (865) 632-5900.

Contact Information

Primary practice address
101 E Blount Ave Ste 800 Knoxville TN 37920-1669
Phone: (865) 632-5900
Fax: (865) 637-2114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA98 Tennessee

Profile Details

NPI number 1952498420
LBN Legal business name Brandt, Charles Phillip
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 2007 - about 18 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 1952498420 NPPES
Tennessee MEDICAID 3665072
Tennessee Other 3046804

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