Brannan, Patrick Shea
Brannan, Patrick Shea is an individual health care provider with primary practice located at 201 W Van Asche Loop , Fayetteville AR 72703-4996. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brannan, Patrick Shea can be contacted via phone (479) 966-4491.Contact Information
Primary practice address
201 W Van Asche Loop
Fayetteville AR 72703-4996
Phone: (479) 966-4491
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD422606 | Pennsylvania |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2015-00204 | North Carolina |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E-13107 | Arkansas |
Profile Details
NPI number | 1740331743 |
---|---|
LBN Legal business name | Brannan, Patrick Shea |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2007 |
Last updated | Jul 23rd, 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 | 1740331743 | NPPES |
South Carolina | MEDICAID | NC2406 | |
South Carolina | MEDICAID | 1356661680 |
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