Brannan, M. Douglas
Brannan, M. Douglas is an individual health care provider with primary practice located at 8700 Beverly Blvd # Sb-290 , West Hollywood CA 90048-1804. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Brannan, M. Douglas can be contacted via phone (310) 423-1447.Contact Information
Primary practice address
8700 Beverly Blvd # Sb-290
West Hollywood CA 90048-1804
Phone: (310) 423-1447
Fax: (310) 423-0387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 76225 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP30005884 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP30005884 | Washington |
Profile Details
| NPI number | 1720132343 |
|---|---|
| LBN Legal business name | Brannan, M. Douglas |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Oct 30th, 2020 - about 4 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 | 1720132343 | NPPES |
| Washington | Other | 0217761 | L&I PIN |
| Washington | Other | 64963U | L&I PIN |
| Washington | MEDICAID | 9632712 | L&I PIN |
| Washington | MEDICAID | 9653106 | L&I PIN |
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