Bryan, John Philip

Bryan, John Philip is an individual health care provider with primary practice located at 225 Crosslake Dr , Evansville IN 47715-8198. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Bryan, John Philip can be contacted via phone (812) 477-1558.

Contact Information

Primary practice address
225 Crosslake Dr Evansville IN 47715-8198
Phone: (812) 477-1558
Fax: (812) 488-4669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601002612 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 99039830A Indiana

Profile Details

NPI number 1083614127
LBN Legal business name Bryan, John Philip
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Aug 24th, 2015 - 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 1083614127 NPPES
Michigan Other 383450619 COMMUNITY CHOICE BILLING
Michigan Other 19788 COMMUNITY CHOICE BILLING

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