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Contact Information

SHEA D BRENDEL, LAT, ATC
7400 OLD MAIN HL
LOGAN, UT84322-7400
 Phone: 435-797-1850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for SHEA D BRENDEL · (Male)

NPI # 1447862891
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 08/18/2020
Last updated 08/18/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 11837369-4810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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