Cousins, Brandon Wayne
Cousins, Brandon Wayne is an sole proprietor health care provider with primary practice located at 485 Wildwood Pkwy Ste 5 , Ballwin MO 63011-2667. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cousins, Brandon Wayne can be contacted via phone (636) 227-8400.Contact Information
Primary practice address
485 Wildwood Pkwy Ste 5
Ballwin MO 63011-2667
Phone: (636) 227-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2018016943 | Missouri |
Profile Details
| NPI number | 1417448259 |
|---|---|
| LBN Legal business name | Cousins, Brandon Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2018 |
| Last updated | Feb 23rd, 2024 - about 9 months 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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