Smith, Brandy Jo
Smith, Brandy Jo is an individual health care provider with primary practice located at 3500 W Purdue Ave , Muncie IN 47304-6357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Smith, Brandy Jo can be contacted via phone (765) 747-6090.Contact Information
Primary practice address
3500 W Purdue Ave
Muncie IN 47304-6357
Phone: (765) 747-6090
Fax: (765) 747-5069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1558878702 |
|---|---|
| LBN Legal business name | Smith, Brandy Jo |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2018 |
| Last updated | Nov 27th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558878702 | NPPES |
| Indiana | Other | 10002401A | PHYSICIAN ASSISTANT LICENSE |
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