Brannon, Patrick Joseph
Brannon, Patrick Joseph is an sole proprietor health care provider with primary practice located at 725 Reservoir Ave Suite 204, Cranston RI 02910-4448. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brannon, Patrick Joseph can be contacted via phone (401) 946-1810.Contact Information
Primary practice address
725 Reservoir Ave Suite 204
Cranston RI 02910-4448
Phone: (401) 946-1810
Fax: (401) 946-4364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | RI5343 | Rhode Island |
Profile Details
| NPI number | 1063455061 |
|---|---|
| LBN Legal business name | Brannon, Patrick Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 23rd, 2007 - about 18 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 | 1063455061 | NPPES |
| Puerto Rico | MEDICAID | 9000518 |
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