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
Phone: (662) 377-1370
Fax: (662) 377-1379
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174570881 | NPPES |
Mississippi | MEDICAID | 08224074 |
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