Whitlock, Brandon Lane

Whitlock, Brandon Lane is an sole proprietor health care provider with primary practice located at 1625 5Th St , Clarkston WA 99403-3001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Whitlock, Brandon Lane can be contacted via phone (509) 295-8398.

Contact Information

Primary practice address
1625 5Th St Clarkston WA 99403-3001
Phone: (509) 295-8398
Fax: (509) 295-8416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61081911 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 65287 Idaho

Profile Details

NPI number 1124353719
LBN Legal business name Whitlock, Brandon Lane
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2009
Last updated Jun 27th, 2024 - about 5 months 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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