Donnelly, Brandon

Donnelly, Brandon is an individual health care provider with primary practice located at 2200 Fort Jesse Rd Ste 230 , Normal IL 61761-6291. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Donnelly, Brandon can be contacted via phone (309) 661-6267.

Contact Information

Primary practice address
2200 Fort Jesse Rd Ste 230 Normal IL 61761-6291
Phone: (309) 661-6267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 070023089 Illinois

Profile Details

NPI number 1912478082
LBN Legal business name Donnelly, Brandon
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2018
Last updated Dec 16th, 2018 - about 8 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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