Whitehead, Brandon L

Whitehead, Brandon L is an individual health care provider with primary practice located at 1101 Michigan Ave , Logansport IN 46947-1528. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Whitehead, Brandon L can be contacted via phone (574) 753-1464.

Contact Information

Primary practice address
1101 Michigan Ave Logansport IN 46947-1528
Phone: (574) 753-1464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1720669864
LBN Legal business name Whitehead, Brandon L
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2021
Last updated Apr 20th, 2021 - 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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