Braden, David Steven
Braden, David Steven is an individual health care provider with primary practice located at 624 Highway 51 N , Brookhaven MS 39601-2337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Braden, David Steven can be contacted via phone (601) 835-2100.Contact Information
Primary practice address
624 Highway 51 N
Brookhaven MS 39601-2337
Phone: (601) 835-2100
Fax: (601) 835-0451
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 10759 | Mississippi |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10759 | Mississippi |
Profile Details
NPI number | 1689697336 |
---|---|
LBN Legal business name | Braden, David Steven |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Sep 12th, 2022 - about 2 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 | 1689697336 | NPPES |
Mississippi | MEDICAID | 00121920 |
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