Brandabur, John J

Brandabur, John J is an individual health care provider with primary practice located at 105 W 8Th Ave Ste 7050 , Spokane WA 99204-2362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brandabur, John J can be contacted via phone (509) 252-1711.

Contact Information

Primary practice address
105 W 8Th Ave Ste 7050 Spokane WA 99204-2362
Phone: (509) 252-1711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00023333 Washington

Profile Details

NPI number 1568493997
LBN Legal business name Brandabur, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 10th, 2023 - 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 1568493997 NPPES
Washington MEDICAID 1031699
Washington Other 0030011
Washington Other BR7060
Washington Other MD336WA
Washington Other 806364300
Washington Other 8890442
Washington Other 100005788
Washington Other US0818959
Washington Other US4217189

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