Brantley, Derrick Michael
Brantley, Derrick Michael is an sole proprietor health care provider with primary practice located at 572 Hamilton Ave , Orange City FL 32763-4610. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Brantley, Derrick Michael can be contacted via phone (386) 801-0642.Contact Information
Primary practice address
572 Hamilton Ave
Orange City FL 32763-4610
Phone: (386) 801-0642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 79136 | Florida |
Profile Details
| NPI number | 1477006195 |
|---|---|
| LBN Legal business name | Brantley, Derrick Michael |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2016 |
| Last updated | Jul 28th, 2016 - about 8 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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