Brame, Phillip Marvin

Brame, Phillip Marvin is an individual health care provider with primary practice located at 1419 West D St , North Wilkesboro NC 28659-1367. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Brame, Phillip Marvin can be contacted via phone (336) 667-1254.

Contact Information

Primary practice address
1419 West D St North Wilkesboro NC 28659-1367
Fax: (336) 667-1255
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 3987 North Carolina

Profile Details

NPI number 1659482024
LBN Legal business name Brame, Phillip Marvin
Credentials DDS MS BOARD CERTIFI
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 17th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659482024 NPPES
North Carolina MEDICAID 8991034

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