Brantley, James J

Brantley, James J is an individual health care provider with primary practice located at 2828 E Millennium Pl Suite 2, Fayetteville AR 72703-6514. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brantley, James J can be contacted via phone (479) 582-1199.

Contact Information

Primary practice address
2828 E Millennium Pl Suite 2 Fayetteville AR 72703-6514
Phone: (479) 582-1199
Fax: (479) 582-1194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 152 Arkansas

Profile Details

NPI number 1720083033
LBN Legal business name Brantley, James J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated May 5th, 2016 - about 10 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 1720083033 NPPES
Arkansas Other 11443421 CAQH PROVIDER NUMBER
Arkansas Other 152 CAQH PROVIDER NUMBER

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