Fantasia, Brandon J.
Fantasia, Brandon J. is an sole proprietor health care provider with primary practice located at 410 N Lemon St , Ontario CA 91764-3732. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fantasia, Brandon J. can be contacted via phone (909) 984-2765.Contact Information
Primary practice address
410 N Lemon St
Ontario CA 91764-3732
Phone: (909) 984-2765
Fax: (909) 467-5594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 33564 | California |
Profile Details
| NPI number | 1720434822 |
|---|---|
| LBN Legal business name | Fantasia, Brandon J. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2016 |
| Last updated | May 6th, 2016 - about 10 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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