Brandt, John Philip
Brandt, John Philip is an individual health care provider with primary practice located at 947 Bellefonte Ave , Lock Haven PA 17745-3033. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brandt, John Philip can be contacted via phone (570) 748-7751.Contact Information
Primary practice address
947 Bellefonte Ave
Lock Haven PA 17745-3033
Phone: (570) 748-7751
Fax: (570) 748-3967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000568 | Pennsylvania |
Profile Details
| NPI number | 1396752572 |
|---|---|
| LBN Legal business name | Brandt, John Philip |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 14th, 2010 - about 16 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 | 1396752572 | NPPES |
| Pennsylvania | MEDICAID | 0012718120001 |
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