Branson, Tina G
Branson, Tina G is an individual health care provider with primary practice located at 945 Goethals Drive Suite 200, Richland WA 99352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Branson, Tina G can be contacted via phone (509) 942-3627.Contact Information
Primary practice address
945 Goethals Drive Suite 200
Richland WA 99352
Phone: (509) 942-3627
Fax: (509) 946-2340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10004535 | Washington |
Profile Details
| NPI number | 1821168840 |
|---|---|
| LBN Legal business name | Branson, Tina G |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Apr 23rd, 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 | 1821168840 | NPPES |
| Washington | MEDICAID | 8436263 |
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