Hensley, Brandon

Hensley, Brandon is an individual health care provider with primary practice located at 430 Morton Plant St Ste 301 , Clearwater FL 33756. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hensley, Brandon can be contacted via phone (727) 461-6026.

Contact Information

Primary practice address
430 Morton Plant St Ste 301 Clearwater FL 33756
Phone: (727) 461-6026
Fax: (727) 796-4345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9110139 Florida

Profile Details

NPI number 1205373727
LBN Legal business name Hensley, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2017
Last updated Jul 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205373727 NPPES
Florida MEDICAID 019927400
Florida Other NH9QM

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