Brandt, Benjamin Tyler

Brandt, Benjamin Tyler is an individual health care provider with primary practice located at 19629 Ne 23Rd St , Harrah OK 73045-9305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Brandt, Benjamin Tyler can be contacted via phone (405) 454-0010.

Contact Information

Primary practice address
19629 Ne 23Rd St Harrah OK 73045-9305
Phone: (405) 454-0010
Fax: (405) 454-0030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2015 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5233 Oklahoma

Profile Details

NPI number 1114397312
LBN Legal business name Brandt, Benjamin Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Sep 28th, 2016 - about 10 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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