Brickman, J Scott
Brickman, J Scott is an sole proprietor health care provider with primary practice located at 4279 Forest Lake Dr W , Tifton GA 31794-2352. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brickman, J Scott can be contacted via phone (229) 848-6058.Contact Information
Primary practice address
4279 Forest Lake Dr W
Tifton GA 31794-2352
Phone: (229) 848-6058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 45042 | Georgia |
Profile Details
| NPI number | 1306849831 |
|---|---|
| LBN Legal business name | Brickman, J Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2005 |
| Last updated | Mar 25th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306849831 | NPPES |
| Georgia | MEDICAID | 00885266F |
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