Bryant, Michael Anthony
Bryant, Michael Anthony is an individual health care provider with primary practice located at 305 W Jackson St Ste 400 , Carbondale IL 62901-1474. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bryant, Michael Anthony can be contacted via phone (618) 351-4972.Contact Information
Primary practice address
305 W Jackson St Ste 400
Carbondale IL 62901-1474
Phone: (618) 351-4972
Fax: (618) 351-4973
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2005019359 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2162 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085002238 | Illinois |
Profile Details
NPI number | 1871542811 |
---|---|
LBN Legal business name | Bryant, Michael Anthony |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2006 |
Last updated | Aug 14th, 2023 - about last year |
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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