Brantly, James

Brantly, James is an individual health care provider with primary practice located at 1125 W Jefferson St , Franklin IN 46131-2140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brantly, James can be contacted via phone (317) 472-1148.

Contact Information

Primary practice address
1125 W Jefferson St Franklin IN 46131-2140
Phone: (317) 472-1148
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01021769 Indiana

Profile Details

NPI number 1528172889
LBN Legal business name Brantly, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Nov 23rd, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528172889 NPPES
Indiana MEDICAID 100047750

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