Condit, Brian Edwin

Condit, Brian Edwin is an individual health care provider with primary practice located at 609 Brunson Dr , Tupelo MS 38801-4948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Condit, Brian Edwin can be contacted via phone (662) 377-1370.

Contact Information

Primary practice address
609 Brunson Dr Tupelo MS 38801-4948
Fax: (662) 377-1379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 18458 Mississippi

Profile Details

NPI number 1174570881
LBN Legal business name Condit, Brian Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Apr 30th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174570881 NPPES
Mississippi MEDICAID 08224074

Popular Providers