Smith, Brandon Lee

Smith, Brandon Lee is an individual health care provider with primary practice located at 3244 Kimball Ave , Manhattan KS 66503. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Smith, Brandon Lee can be contacted via phone (785) 537-8897.

Contact Information

Primary practice address
3244 Kimball Ave Manhattan KS 66503
Fax: (785) 537-8893
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Specialist 174400000X CS0162

Profile Details

NPI number 1730486457
LBN Legal business name Smith, Brandon Lee
Credentials CERTIFIED ORTHOTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2011
Last updated May 26th, 2011 - about 14 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 1730486457 NPPES
Other C50162 CERTIFICATION FROM BOC

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