Brantner, Jim N

Brantner, Jim N is an sole proprietor health care provider with primary practice located at 1303 Sunset Dr Suite 5, Johnson City TN 37604-7905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Brantner, Jim N can be contacted via phone (423) 328-9000.

Contact Information

Primary practice address
1303 Sunset Dr Suite 5 Johnson City TN 37604-7905
Phone: (423) 328-9000
Fax: (423) 328-9007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD25117 Tennessee

Profile Details

NPI number 1275522567
LBN Legal business name Brantner, Jim N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Nov 13th, 2019 - about 5 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 1275522567 NPPES
Tennessee Other 178630 BLUECROSS BLUESHIELD
Tennessee MEDICAID 3081165 BLUECROSS BLUESHIELD

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