Nitz, Brian Stephen

Nitz, Brian Stephen is an sole proprietor health care provider with primary practice located at 700 N Progress Ave , Siloam Springs AR 72761-4349. 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. Nitz, Brian Stephen can be contacted via phone (479) 524-5134.

Contact Information

Primary practice address
700 N Progress Ave Siloam Springs AR 72761-4349
Phone: (479) 524-5134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT385 Arkansas

Profile Details

NPI number 1124557350
LBN Legal business name Nitz, Brian Stephen
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2017
Last updated Jun 10th, 2017 - about 7 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 1124557350 NPPES
Other 885931099 NATIONAL ATHLETIC TRAINERS ASSOC. BOARD OF CERTIFICATION

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