Duffie, Brandon Craig

Duffie, Brandon Craig is an sole proprietor health care provider with primary practice located at 8 Sawgrass Rd Suite B, Charleston SC 29412-2523. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Duffie, Brandon Craig can be contacted via phone (843) 406-9889.

Contact Information

Primary practice address
8 Sawgrass Rd Suite B Charleston SC 29412-2523
Fax: (843) 406-7889
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT3683 South Carolina

Profile Details

NPI number 1043432453
LBN Legal business name Duffie, Brandon Craig
Credentials DPT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Mar 18th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043432453 NPPES
South Carolina MEDICAID TH1097

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