Hietpas, Bryce Michael

Hietpas, Bryce Michael is an individual health care provider with primary practice located at 1 Campus View Dr , Vienna WV 26105-8000. 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. Hietpas, Bryce Michael can be contacted via phone (304) 865-6000.

Contact Information

Primary practice address
1 Campus View Dr Vienna WV 26105-8000
Phone: (304) 865-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001739 West Virginia

Profile Details

NPI number 1487252664
LBN Legal business name Hietpas, Bryce Michael
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2020
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487252664 NPPES
Other 2000039304 BOC CERTIFIED ATHLETIC TRAINER
Other AT001739 BOC CERTIFIED ATHLETIC TRAINER

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