Brantley, Jonathan Nathaniel

Brantley, Jonathan Nathaniel is an individual health care provider with primary practice located at 1201 Broad Rock Blvd Surgical Service (112H), Richmond VA 23249-0001. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brantley, Jonathan Nathaniel can be contacted via phone (804) 675-5112.

Contact Information

Primary practice address
1201 Broad Rock Blvd Surgical Service (112H) Richmond VA 23249-0001
Phone: (804) 675-5112
Fax: (804) 675-5390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103000902 Virginia

Profile Details

NPI number 1346299773
LBN Legal business name Brantley, Jonathan Nathaniel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2007 - about 17 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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