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:
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Health care specialties

SpecialtyCodeLicense #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 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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