Defelice, Bryan

Defelice, Bryan is an individual health care provider with primary practice located at Building 52/Lake Drive , Mountain Home TN 37684. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Defelice, Bryan can be contacted via phone (423) 439-8000.

Contact Information

Primary practice address
Building 52/Lake Drive Mountain Home TN 37684
Phone: (423) 439-8000
Fax: (423) 439-2200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1891363297
LBN Legal business name Defelice, Bryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2021
Last updated Jun 14th, 2021 - about 5 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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