Church, Michael Brandon

Church, Michael Brandon is an individual health care provider with primary practice located at 1996 W State St , Bristol TN 37620-1940. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Church, Michael Brandon can be contacted via phone (423) 844-6111.

Contact Information

Primary practice address
1996 W State St Bristol TN 37620-1940
Phone: (423) 844-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 6152 Tennessee

Profile Details

NPI number 1073056206
LBN Legal business name Church, Michael Brandon
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2016
Last updated Nov 20th, 2016 - about 9 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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