Porter, Brandon

Porter, Brandon is an sole proprietor health care provider with primary practice located at 2939 N 36Th St Apt 211 , Phoenix AZ 85018-7460. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Porter, Brandon can be contacted via phone (815) 412-0239.

Contact Information

Primary practice address
2939 N 36Th St Apt 211 Phoenix AZ 85018-7460
Phone: (815) 412-0239
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1760174965
LBN Legal business name Porter, Brandon
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2023
Last updated May 24th, 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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