Brannigan, Thomas J

Brannigan, Thomas J is an individual health care provider with primary practice located at 8881 Fletcher Parkway #102, La Mesa CA 91942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brannigan, Thomas J can be contacted via phone (619) 461-1830.

Contact Information

Primary practice address
8881 Fletcher Parkway #102 La Mesa CA 91942
Fax: (619) 797-1484
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G65789 California

Profile Details

NPI number 1598710030
LBN Legal business name Brannigan, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Feb 15th, 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 1598710030 NPPES
California Other 00G657890 BLUE SHIELD PIN
California MEDICAID 00G657890 BLUE SHIELD PIN

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