Griesemer, Brett
Griesemer, Brett is an individual health care provider with primary practice located at 510 Stadium Rd 160 Jamerson Athletic Center, Blacksburg VA 24061-1024. 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. Griesemer, Brett can be contacted via phone (540) 641-3536.Contact Information
Primary practice address
510 Stadium Rd 160 Jamerson Athletic Center
Blacksburg VA 24061-1024
Phone: (540) 641-3536
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0126001850 | Virginia |
Profile Details
NPI number | 1649679788 |
---|---|
LBN Legal business name | Griesemer, Brett |
Credentials | MAED, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2014 |
Last updated | Aug 14th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649679788 | NPPES |
Virginia | Other | 0126001850 | ATHLETIC TRAINING STATE LICENSURE |
Virginia | Other | 2000003223 | ATHLETIC TRAINING STATE LICENSURE |
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