Brannon, Matthew
Brannon, Matthew is an sole proprietor health care provider with primary practice located at 4930 Starboard Cir Apt 108 , Mechanicsburg PA 17050-3242. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Brannon, Matthew can be contacted via phone (850) 419-1400.Contact Information
Primary practice address
4930 Starboard Cir Apt 108
Mechanicsburg PA 17050-3242
Phone: (850) 419-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT007123 | Pennsylvania |
Profile Details
| NPI number | 1902495369 |
|---|---|
| LBN Legal business name | Brannon, Matthew |
| Credentials | MS, LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2021 |
| Last updated | Jan 11th, 2021 - 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 | 1902495369 | NPPES |
| Pennsylvania | Other | RT007123 | LICENSE |
| Pennsylvania | Other | 2000033950 | LICENSE |
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