Brand, John Carlyn

Brand, John Carlyn is an individual health care provider with primary practice located at 1057 Medical Park Dr , Osage Beach MO 65065-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brand, John Carlyn can be contacted via phone (573) 302-3100.

Contact Information

Primary practice address
1057 Medical Park Dr Osage Beach MO 65065-3000
Phone: (573) 302-3100
Fax: (573) 348-8279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2011012163 Missouri

Profile Details

NPI number 1144451774
LBN Legal business name Brand, John Carlyn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2009
Last updated Dec 15th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144451774 NPPES
Missouri Other 2011012163 MO STATE LICENSE
Missouri MEDICAID 1144451774 MO STATE LICENSE

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