Moltz, Bryanna Renee

Moltz, Bryanna Renee is an sole proprietor health care provider with primary practice located at 650 E Parkway S , Memphis TN 38104-5568. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Moltz, Bryanna Renee can be contacted via phone (870) 941-9402.

Contact Information

Primary practice address
650 E Parkway S Memphis TN 38104-5568
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2544 Tennessee

Profile Details

NPI number 1326616848
LBN Legal business name Moltz, Bryanna Renee
Credentials MAT LAT ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 4 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 1326616848 NPPES
Arkansas MEDICAID NA

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