Branch, Stephen A
Branch, Stephen A is an sole proprietor health care provider with primary practice located at 1202 N Virginia St , Port Lavaca TX 77979-2507. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Branch, Stephen A can be contacted via phone (361) 552-2999.Contact Information
Primary practice address
1202 N Virginia St
Port Lavaca TX 77979-2507
Phone: (361) 552-2999
Fax: (361) 552-1566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 27381 | Texas |
Profile Details
| NPI number | 1316105026 |
|---|---|
| LBN Legal business name | Branch, Stephen A |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2008 |
| Last updated | May 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316105026 | NPPES |
| Texas | MEDICAID | 013985901 | |
| Texas | MEDICAID | 010801101 |
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