Salley, Brett Tyson
Salley, Brett Tyson is an sole proprietor health care provider with primary practice located at 2313 East Center St Suite A, Kingsport TN 37664-2798. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Salley, Brett Tyson can be contacted via phone (423) 247-4400.Contact Information
Primary practice address
2313 East Center St Suite A
Kingsport TN 37664-2798
Phone: (423) 247-4400
Fax: (423) 247-4404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1059 | Tennessee |
| Chiropractic Providers / Chiropractor | 111N00000X | 2724 | Washington |
Profile Details
| NPI number | 1144411067 |
|---|---|
| LBN Legal business name | Salley, Brett Tyson |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Aug 6th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144411067 | NPPES |
| Tennessee | MEDICAID | 3677584 |
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