Individual
BRANDON CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1010 S GREENE ST, ROCK RAPIDS, IA 51246-2087
(507) 210-8493
Mailing address
1010 S GREENE ST, ROCK RAPIDS, IA 51246-2087
(507) 210-8493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0639
SD
2255A2300X
Athletic Trainer
Primary
097122
IA
2255A2300X
Athletic Trainer
3015
MN
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0639
SOUTH DAKOTA BOARD OF MEDICAL AND OSTEOPATHIC EXAMINERS
SD
01
—
097122
IOWA DEPARTMENT OF PUBLIC HEALTH
IA
01
—
3015
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
Enumeration date
01/14/2017
Last updated
07/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us