Brassell, Michael Jordan

Brassell, Michael Jordan is an individual health care provider with primary practice located at 730 Thimble Shoals Blvd Ste 130 , Newport News VA 23606-4562. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brassell, Michael Jordan can be contacted via phone (757) 873-1554.

Contact Information

Primary practice address
730 Thimble Shoals Blvd Ste 130 Newport News VA 23606-4562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC006998 Pennsylvania

Profile Details

NPI number 1932763927
LBN Legal business name Brassell, Michael Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2019
Last updated Jul 12th, 2022 - about 2 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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