Stevenson, Bryson Wray
Stevenson, Bryson Wray is an sole proprietor health care provider with primary practice located at 410 Pilgrim Blvd , Hartford City IN 47348-1382. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stevenson, Bryson Wray can be contacted via phone (765) 348-4197.Contact Information
Primary practice address
410 Pilgrim Blvd
Hartford City IN 47348-1382
Phone: (765) 348-4197
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05014367A | Indiana |
Profile Details
| NPI number | 1477338853 |
|---|---|
| LBN Legal business name | Stevenson, Bryson Wray |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2023 |
| Last updated | Mar 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477338853 | NPPES |
| Indiana | MEDICAID | 300087640 |
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