Brylle, Douglas

Brylle, Douglas is an sole proprietor health care provider with primary practice located at 586 Middle Tpke E , Manchester CT 06040-3730. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Brylle, Douglas can be contacted via phone (860) 645-3810.

Contact Information

Primary practice address
586 Middle Tpke E Manchester CT 06040-3730
Phone: (860) 645-3810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 018070 Connecticut
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 001121 Connecticut

Profile Details

NPI number 1700329430
LBN Legal business name Brylle, Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated Oct 28th, 2021 - about 4 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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