Packard, Bryan
Packard, Bryan is an individual health care provider with primary practice located at 343 Warrior Rd Bldg 2115, Fort Stewart GA 31314. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Packard, Bryan can be contacted via phone (912) 767-4440.Contact Information
Primary practice address
343 Warrior Rd Bldg 2115
Fort Stewart GA 31314
Phone: (912) 767-4440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN015155 | Georgia |
| Dental Providers / Dentist | 122300000X | 019.030304 | Illinois |
Profile Details
| NPI number | 1194194431 |
|---|---|
| LBN Legal business name | Packard, Bryan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Mar 17th, 2018 - 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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