Provider Demographics
NPI:1952870958
Name:AMSLER, BRANDON HEATH (GENERAL CONTRACTOR)
Entity Type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:HEATH
Last Name:AMSLER
Suffix:
Gender:M
Credentials:GENERAL CONTRACTOR
Other - Prefix:MR
Other - First Name:BRANDON
Other - Middle Name:HEATH
Other - Last Name:AMSLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:A NOTCH ABOVE
Mailing Address - Street 1:400 SOUTHLAKE BLVD STE E2
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3061
Mailing Address - Country:US
Mailing Address - Phone:804-929-2656
Mailing Address - Fax:
Practice Address - Street 1:400 SOUTHLAKE BLVD STE E2
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3061
Practice Address - Country:US
Practice Address - Phone:804-929-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705156240171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications