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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1902495369 NPPES
Pennsylvania Other RT007123 LICENSE
Pennsylvania Other 2000033950 LICENSE

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