Lichlyter, John Bradford
Lichlyter, John Bradford is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Ste 130 , Johnson City TN 37604-6972. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lichlyter, John Bradford can be contacted via phone (423) 431-2477.Contact Information
Primary practice address
410 N State Of Franklin Rd Ste 130
Johnson City TN 37604-6972
Phone: (423) 431-2477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | 224266 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 34793 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 34973 | Tennessee |
Profile Details
| NPI number | 1629852900 |
|---|---|
| LBN Legal business name | Lichlyter, John Bradford |
| Credentials | MSN, APRN, NP-C, CEN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2023 |
| Last updated | Apr 26th, 2024 - about 2 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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