Gould, Brennon Chantz
Gould, Brennon Chantz is an individual health care provider with primary practice located at 175 Hospital Dr , Winchester KY 40391-9591. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Gould, Brennon Chantz can be contacted via phone (859) 737-8444.Contact Information
Primary practice address
175 Hospital Dr
Winchester KY 40391-9591
Phone: (859) 737-8444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | TC004 | Kentucky |
Profile Details
| NPI number | 1376234237 |
|---|---|
| LBN Legal business name | Gould, Brennon Chantz |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2023 |
| Last updated | Sep 16th, 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.
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