Prince, Brandon Shane

Prince, Brandon Shane is an sole proprietor health care provider with primary practice located at 2853 S 3200 W , West Valley City UT 84119-1723. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Prince, Brandon Shane can be contacted via phone (423) 458-2588.

Contact Information

Primary practice address
2853 S 3200 W West Valley City UT 84119-1723
Phone: (423) 458-2588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 10129011-4701 Utah

Profile Details

NPI number 1215460340
LBN Legal business name Prince, Brandon Shane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2017
Last updated Apr 5th, 2017 - about 9 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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