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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1649679788 NPPES
Virginia Other 0126001850 ATHLETIC TRAINING STATE LICENSURE
Virginia Other 2000003223 ATHLETIC TRAINING STATE LICENSURE

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