Brackett, Jeffrey C
Brackett, Jeffrey C is an individual health care provider with primary practice located at 168 N Brent St Ste 503, Ventura CA 93003-2840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Brackett, Jeffrey C can be contacted via phone (805) 653-0101.Contact Information
Primary practice address
168 N Brent St Ste 503
Ventura CA 93003-2840
Phone: (805) 653-0101
Fax: (805) 641-0434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A60080 | California |
Profile Details
| NPI number | 1013919133 |
|---|---|
| LBN Legal business name | Brackett, Jeffrey C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Oct 13th, 2023 - about last year |
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 | 1013919133 | NPPES |
| California | MEDICAID | GR0001490 |
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