Thacker, Brandon

Thacker, Brandon is an individual health care provider with primary practice located at 2608 W Riggin Rd , Muncie IN 47304-1019. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Thacker, Brandon can be contacted via phone (317) 445-0336.

Contact Information

Primary practice address
2608 W Riggin Rd Muncie IN 47304-1019
Phone: (317) 445-0336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1851031504
LBN Legal business name Thacker, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2022
Last updated Apr 8th, 2022 - about 3 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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