Brackin, Phillip
Brackin, Phillip is an individual health care provider with primary practice located at 501 Bath Rd , Bristol PA 19007-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brackin, Phillip can be contacted via phone (215) 785-9070.Contact Information
Primary practice address
501 Bath Rd
Bristol PA 19007-3101
Phone: (215) 785-9070
Fax: (215) 785-9021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD014032E | Pennsylvania |
Profile Details
| NPI number | 1386649267 |
|---|---|
| LBN Legal business name | Brackin, Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Dec 13th, 2007 - about 18 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 | 1386649267 | NPPES |
| Pennsylvania | MEDICAID | 0009016420001 |
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