Trujillo, Brandon Lisle

Trujillo, Brandon Lisle is an individual health care provider with primary practice located at 950 E Riverside Dr , Eagle ID 83616-6020. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Trujillo, Brandon Lisle can be contacted via phone (208) 939-2502.

Contact Information

Primary practice address
950 E Riverside Dr Eagle ID 83616-6020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6760623-1202 Utah
Chiropractic Providers / Chiropractor 111N00000X CHIA1581 Idaho

Profile Details

NPI number 1619166063
LBN Legal business name Trujillo, Brandon Lisle
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Feb 11th, 2014 - about 10 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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