Brannen, Jeffrey Alan

Brannen, Jeffrey Alan is an individual health care provider with primary practice located at 1005 Pennsylvania Ave Suite 104, Ottumwa IA 52501-6413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brannen, Jeffrey Alan can be contacted via phone (641) 682-4594.

Contact Information

Primary practice address
1005 Pennsylvania Ave Suite 104 Ottumwa IA 52501-6413
Phone: (641) 682-4594
Fax: (641) 682-2123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 3584 Iowa

Profile Details

NPI number 1972616316
LBN Legal business name Brannen, Jeffrey Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972616316 NPPES
Iowa MEDICAID 1972616316

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