Brandt, Jared Robert

Brandt, Jared Robert is an individual health care provider with primary practice located at 75 Pringle Way Suite 1002, Reno NV 89502-1464. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Brandt, Jared Robert can be contacted via phone (775) 326-9132.

Contact Information

Primary practice address
75 Pringle Way Suite 1002 Reno NV 89502-1464
Phone: (775) 326-9132
Fax: (775) 336-3345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA898 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA898 Nevada

Profile Details

NPI number 1073587440
LBN Legal business name Brandt, Jared Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Sep 12th, 2012 - about 12 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 1073587440 NPPES
Nevada MEDICAID 100505905

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