Brannock, Kristina
Brannock, Kristina is an individual health care provider with primary practice located at 700 Childrens Dr # D00651 , Columbus OH 43205-2664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Brannock, Kristina can be contacted via phone (614) 722-5315.Contact Information
Primary practice address
700 Childrens Dr # D00651
Columbus OH 43205-2664
Phone: (614) 722-5315
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 35 130249 | Ohio |
Profile Details
NPI number | 1780806927 |
---|---|
LBN Legal business name | Brannock, Kristina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2007 |
Last updated | Oct 18th, 2021 - about 3 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 | 1780806927 | NPPES |
Ohio | MEDICAID | 0201103 | |
Ohio | MEDICAID | 102193553 |
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