Brantley, Gretchen Wasserstrom

Brantley, Gretchen Wasserstrom is an individual health care provider with primary practice located at 900 Rio East Ct Ste. A, Charlottesville VA 22901-8040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brantley, Gretchen Wasserstrom can be contacted via phone (434) 975-7777.

Contact Information

Primary practice address
900 Rio East Ct Ste. A Charlottesville VA 22901-8040
Phone: (434) 975-7777
Fax: (434) 975-7774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101057619 Virginia

Profile Details

NPI number 1760466353
LBN Legal business name Brantley, Gretchen Wasserstrom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 18th, 2020 - about 4 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 1760466353 NPPES
Virginia MEDICAID 006733328

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