Stoll, Brian Lee

Stoll, Brian Lee is an individual health care provider with primary practice located at 1900 Saint Charles St , Jasper IN 47546-9145. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Stoll, Brian Lee can be contacted via phone (812) 634-1211.

Contact Information

Primary practice address
1900 Saint Charles St Jasper IN 47546-9145
Phone: (812) 634-1211
Fax: (812) 634-1582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 06001403A Indiana

Profile Details

NPI number 1023148327
LBN Legal business name Stoll, Brian Lee
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1023148327 NPPES
Indiana Other 06001403A INDIANA STATE LICENSE

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