Hendley, Brian Matthew

Hendley, Brian Matthew is an individual health care provider with primary practice located at 2990 Hwy 49S Suite A, Florence MS 39073. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Hendley, Brian Matthew can be contacted via phone (601) 891-8179.

Contact Information

Primary practice address
2990 Hwy 49S Suite A Florence MS 39073
Phone: (601) 891-8179
Fax: (601) 891-8520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 640881013 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT2731 Mississippi

Profile Details

NPI number 1104121821
LBN Legal business name Hendley, Brian Matthew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2011
Last updated Feb 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104121821 NPPES
Mississippi MEDICAID 0220392

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