Tetrault, Brandon James
Tetrault, Brandon James is an sole proprietor health care provider with primary practice located at University Of North Dakota 1301 N Columbia Rd, Grand Forks ND 58202-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Tetrault, Brandon James can be contacted via phone (701) 610-1060.Contact Information
Primary practice address
University Of North Dakota 1301 N Columbia Rd
Grand Forks ND 58202-0001
Phone: (701) 610-1060
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 953-22 | North Dakota |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2601001062 | Michigan |
Profile Details
NPI number | 1659671980 |
---|---|
LBN Legal business name | Tetrault, Brandon James |
Credentials | Athletic Trainer, Certified (ATC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 3rd, 2010 |
Last updated | Aug 15th, 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.
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