Cousin, Brannon Tyshaun
Cousin, Brannon Tyshaun is an sole proprietor health care provider with primary practice located at 28 Hillcrest Dr , Rapid City SD 57701-3654. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Cousin, Brannon Tyshaun can be contacted via phone (605) 454-7910.Contact Information
Primary practice address
28 Hillcrest Dr
Rapid City SD 57701-3654
Phone: (605) 454-7910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1811663263 |
|---|---|
| LBN Legal business name | Cousin, Brannon Tyshaun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2021 |
| Last updated | Aug 17th, 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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