Mcdaniel, Brent Jackson

Mcdaniel, Brent Jackson is an individual health care provider with primary practice located at 1985 E Freedom Dr , Newberry IN 47449-7125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mcdaniel, Brent Jackson can be contacted via phone (270) 314-4401.

Contact Information

Primary practice address
1985 E Freedom Dr Newberry IN 47449-7125
Phone: (270) 314-4401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02004071A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 05348 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 02004071A Indiana

Profile Details

NPI number 1356636575
LBN Legal business name Mcdaniel, Brent Jackson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2011
Last updated Oct 5th, 2023 - 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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