Brannon, Susan A

Brannon, Susan A is an sole proprietor health care provider with primary practice located at 8160 Seaton Pl , Montgomery AL 36116-7204. She recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as her primary health care specialty. Brannon, Susan A can be contacted via phone (334) 272-1799.

Contact Information

Primary practice address
8160 Seaton Pl Montgomery AL 36116-7204
Phone: (334) 272-1799
Fax: (334) 272-4876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 14224 Alabama

Profile Details

NPI number 1063548642
LBN Legal business name Brannon, Susan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Sep 25th, 2014 - about 10 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 1063548642 NPPES
Alabama Other 631214880 TAX ID
Alabama MEDICAID 000088077 TAX ID
Alabama Other 051088077 TAX ID

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