Brantley, Jason

Brantley, Jason is an individual health care provider with primary practice located at 215 Cushman St , Fairbanks AK 99701-4639. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Brantley, Jason can be contacted via phone (907) 328-1566.

Contact Information

Primary practice address
215 Cushman St Fairbanks AK 99701-4639
Phone: (907) 328-1566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1689360893
LBN Legal business name Brantley, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2023
Last updated Apr 12th, 2023 - about 3 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.

Request for update

Popular Providers