Branson, Wayne E

Branson, Wayne E is an individual health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Branson, Wayne E can be contacted via phone (815) 489-4400.

Contact Information

Primary practice address
1401 E State St Rockford IL 61104-2315
Phone: (815) 489-4400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 041224814 Illinois

Profile Details

NPI number 1972749158
LBN Legal business name Branson, Wayne E
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2008
Last updated Dec 18th, 2008 - about 16 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 1972749158 NPPES
Illinois Other 010122910 BLUE CROSS

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