Brackman, Joseph Lawrence
Brackman, Joseph Lawrence is an individual health care provider with primary practice located at 888 Maple Street , Fall River MA 02720. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Brackman, Joseph Lawrence can be contacted via phone (508) 324-9600.Contact Information
Primary practice address
888 Maple Street
Fall River MA 02720
Phone: (508) 324-9600
Fax: (508) 324-9613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 11562 | Massachusetts |
Profile Details
| NPI number | 1073652244 |
|---|---|
| LBN Legal business name | Brackman, Joseph Lawrence |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 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 | 1073652244 | NPPES |
| Massachusetts | MEDICAID | 0203742 |
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