NPI 1851031504

Brandon Thacker

Practitioner Community Health Worker Muncie, IN

Practice location

Address: 2608 W Riggin Rd, Muncie, IN 47304-1019
Phone: (317) 445-0336

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Indiana →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1851031504
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2022
Record last updated: 8 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.