Brandon, Ricky Travis
Brandon, Ricky Travis is an sole proprietor health care provider with primary practice located at 2368 E 1035 S , Spanish Fork UT 84660-3505. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Brandon, Ricky Travis can be contacted via phone (801) 836-4035.Contact Information
Primary practice address
2368 E 1035 S
Spanish Fork UT 84660-3505
Phone: (801) 836-4035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1083379614 |
|---|---|
| LBN Legal business name | Brandon, Ricky Travis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2021 |
| Last updated | Nov 8th, 2021 - about 4 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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