Brahan, John W

Brahan, John W is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brahan, John W can be contacted via phone (601) 268-5660.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5660
Fax: (601) 268-5759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11007 Mississippi

Profile Details

NPI number 1871507566
LBN Legal business name Brahan, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2020 - about 4 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 1871507566 NPPES
Mississippi Other 1558920 AMERICAN ADMIN GROUP
Mississippi Other 020011281 AMERICAN ADMIN GROUP
Mississippi MEDICAID 009936790 AMERICAN ADMIN GROUP
Mississippi MEDICAID 00016196 AMERICAN ADMIN GROUP

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