Thomas, Brandon Mark

Thomas, Brandon Mark is an individual health care provider with primary practice located at 2125 Nw Stewart Pkwy , Roseburg OR 97471-1693. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Thomas, Brandon Mark can be contacted via phone (541) 957-8552.

Contact Information

Primary practice address
2125 Nw Stewart Pkwy Roseburg OR 97471-1693
Phone: (541) 957-8552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 253296 Oregon

Profile Details

NPI number 1659147791
LBN Legal business name Thomas, Brandon Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2023
Last updated Nov 29th, 2023 - about last year

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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