Ehalt, Brody Tanner

Ehalt, Brody Tanner is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Ehalt, Brody Tanner can be contacted via phone (707) 423-3826.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-3826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1770232753
LBN Legal business name Ehalt, Brody Tanner
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2022
Last updated Mar 18th, 2022 - about 2 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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