Mann, Brendon Davis
Mann, Brendon Davis is an individual health care provider with primary practice located at 409 S Oakland St , Gastonia NC 28052-4312. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Mann, Brendon Davis can be contacted via phone (704) 874-9005.Contact Information
Primary practice address
409 S Oakland St
Gastonia NC 28052-4312
Phone: (704) 874-9005
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 4927 | North Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4927 | North Carolina |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4927 | North Carolina |
Profile Details
NPI number | 1447320809 |
---|---|
LBN Legal business name | Mann, Brendon Davis |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2006 |
Last updated | Oct 21st, 2019 - about 6 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 | 1447320809 | NPPES |
North Carolina | MEDICAID | 6102757 |
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