Branham, Justin

Branham, Justin is an individual health care provider with primary practice located at 2800 Main St , Bridgeport CT 06606-4201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Branham, Justin can be contacted via phone (120) 357-6600.

Contact Information

Primary practice address
2800 Main St Bridgeport CT 06606-4201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10711 Connecticut

Profile Details

NPI number 1912550526
LBN Legal business name Branham, Justin
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2019
Last updated Jun 24th, 2024 - about 5 months 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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