Brackup, Alan Bart

Brackup, Alan Bart is an sole proprietor health care provider with primary practice located at 1717 Langhorne Newtown Rd Ste 150 , Langhorne PA 19047-1089. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Brackup, Alan Bart can be contacted via phone (215) 750-9400.

Contact Information

Primary practice address
1717 Langhorne Newtown Rd Ste 150 Langhorne PA 19047-1089
Phone: (215) 750-9400
Fax: (215) 750-7400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD044284E Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X MD044284E Pennsylvania

Profile Details

NPI number 1417059908
LBN Legal business name Brackup, Alan Bart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2006
Last updated Mar 25th, 2021 - about 5 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 1417059908 NPPES
Pennsylvania Other 0342693000 KEYSTONE
Pennsylvania Other 4122424 KEYSTONE
Pennsylvania Other 0790237 KEYSTONE
Pennsylvania Other 520626 KEYSTONE
Pennsylvania Other 0520626 KEYSTONE
Pennsylvania Other 2265859 KEYSTONE
Pennsylvania Other E20626 KEYSTONE

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