Braddock, Stewart Elgen
Braddock, Stewart Elgen is an individual health care provider with primary practice located at 2091 South Margaret , Kirbyville TX 75956. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Braddock, Stewart Elgen can be contacted via phone (409) 423-5519.Contact Information
Primary practice address
2091 South Margaret
Kirbyville TX 75956
Phone: (409) 423-5519
Fax: (409) 423-5519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13307 | Texas |
Profile Details
| NPI number | 1578620431 |
|---|---|
| LBN Legal business name | Braddock, Stewart Elgen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1578620431 | NPPES |
| Other | 701005 | UNITED CONCORDIA |
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