Brannon, Robert

Brannon, Robert is an individual health care provider with primary practice located at 4000 E Main St , Columbus OH 43213-2950. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Brannon, Robert can be contacted via phone (614) 334-6903.

Contact Information

Primary practice address
4000 E Main St Columbus OH 43213-2950
Phone: (614) 334-6903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1407431471
LBN Legal business name Brannon, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2021
Last updated Mar 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 1407431471 NPPES
Ohio MEDICAID 0315095

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