Brannon, Austin Edgar
Brannon, Austin Edgar is an individual health care provider with primary practice located at 2580 S 300 E , South Salt Lake UT 84115-3241. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brannon, Austin Edgar can be contacted via phone (801) 243-1041.Contact Information
Primary practice address
2580 S 300 E
South Salt Lake UT 84115-3241
Phone: (801) 243-1041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11835547-1206 | Utah |
Profile Details
| NPI number | 1215402631 |
|---|---|
| LBN Legal business name | Brannon, Austin Edgar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2018 |
| Last updated | Jun 29th, 2022 - about 2 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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