Carter, Brandon

Carter, Brandon is an sole proprietor health care provider with primary practice located at 186 Clinton St , Hempstead NY 11550-2600. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Carter, Brandon can be contacted via phone (516) 483-8136.

Contact Information

Primary practice address
186 Clinton St Hempstead NY 11550-2600
Phone: (516) 483-8136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 058310 New York

Profile Details

NPI number 1457758963
LBN Legal business name Carter, Brandon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2014
Last updated May 12th, 2016 - about 8 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 1457758963 NPPES
New York MEDICAID 04348610

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