Bair, Brant Allen

Bair, Brant Allen is an individual health care provider with primary practice located at 2100 Calle De La Vuelta Suite C103, Santa Fe NM 87505-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bair, Brant Allen can be contacted via phone (505) 982-5014.

Contact Information

Primary practice address
2100 Calle De La Vuelta Suite C103 Santa Fe NM 87505-4742
Phone: (505) 982-5014
Fax: (505) 982-2687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2001-10 New Mexico

Profile Details

NPI number 1871512152
LBN Legal business name Bair, Brant Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 20th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871512152 NPPES
New Mexico MEDICAID E4069

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