Branum, Gene D

Branum, Gene D is an individual health care provider with primary practice located at 180 1St St W #301, Ketchum ID 83340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Branum, Gene D can be contacted via phone (208) 726-3707.

Contact Information

Primary practice address
180 1St St W #301 Ketchum ID 83340
Phone: (208) 726-3707
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101230423 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X M-13897 Idaho

Profile Details

NPI number 1386640076
LBN Legal business name Branum, Gene D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jun 8th, 2020 - about 5 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 1386640076 NPPES
Idaho MEDICAID 1386640076
Idaho Other 1386640076

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