Bracamonte, Erika R
Bracamonte, Erika R is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Bracamonte, Erika R can be contacted via phone (520) 874-4135.Contact Information
Primary practice address
1501 N Campbell Ave
Tucson AZ 85724-0001
Phone: (520) 874-4135
Fax: (520) 874-7048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 36183 | Arizona |
Profile Details
| NPI number | 1235294182 |
|---|---|
| LBN Legal business name | Bracamonte, Erika R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | May 29th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235294182 | NPPES |
| Arizona | MEDICAID | 172281 | |
| Arizona | Other | ZWCGCR | |
| Arizona | Other | 36183 | |
| Arizona | Other | P00387430 |
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