Brandt, Jared Robert
Brandt, Jared Robert is an individual health care provider with primary practice located at 75 Pringle Way Suite 1002, Reno NV 89502-1464. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Brandt, Jared Robert can be contacted via phone (775) 326-9132.Contact Information
Primary practice address
75 Pringle Way Suite 1002
Reno NV 89502-1464
Phone: (775) 326-9132
Fax: (775) 336-3345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA898 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA898 | Nevada |
Profile Details
| NPI number | 1073587440 |
|---|---|
| LBN Legal business name | Brandt, Jared Robert |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Sep 12th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073587440 | NPPES |
| Nevada | MEDICAID | 100505905 |
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