Branch, Eric Alan

Branch, Eric Alan is an individual health care provider with primary practice located at 2011 Harrison Ave , Panama City FL 32405-4545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Branch, Eric Alan can be contacted via phone (850) 691-4188.

Contact Information

Primary practice address
2011 Harrison Ave Panama City FL 32405-4545
Phone: (850) 691-4188
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME151012 Florida

Profile Details

NPI number 1982067344
LBN Legal business name Branch, Eric Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2016
Last updated Aug 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982067344 NPPES
Florida MEDICAID 114479500

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