Antoskow, Brandon Timothy

Antoskow, Brandon Timothy is an individual health care provider with primary practice located at 1510 1/2 Hatcher Ln , Columbia TN 38401-4825. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Antoskow, Brandon Timothy can be contacted via phone (931) 548-6901.

Contact Information

Primary practice address
1510 1/2 Hatcher Ln Columbia TN 38401-4825
Phone: (931) 548-6901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 3546 Tennessee

Profile Details

NPI number 1255973863
LBN Legal business name Antoskow, Brandon Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2019
Last updated May 29th, 2025 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255973863 NPPES
Tennessee MEDICAID 3717679

Popular Providers