Branda, Angela L
Branda, Angela L is an sole proprietor health care provider with primary practice located at 295 Forest Ave 2R, Portland ME 04101-2018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Branda, Angela L can be contacted via phone (207) 772-5437.Contact Information
Primary practice address
295 Forest Ave 2R
Portland ME 04101-2018
Phone: (207) 772-5437
Fax: (207) 879-1537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2172 | Maine |
Profile Details
| NPI number | 1710173133 |
|---|---|
| LBN Legal business name | Branda, Angela L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Nov 4th, 2011 - about 14 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 | 1710173133 | NPPES |
| Maine | Other | AA221173 | HPHC |
| Maine | MEDICAID | 1710173133 | HPHC |
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