Brasington, Allen T

Brasington, Allen T is an sole proprietor health care provider with primary practice located at 6021 Nw 1St Pl , Gainesville FL 32607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brasington, Allen T can be contacted via phone (352) 331-1902.

Contact Information

Primary practice address
6021 Nw 1St Pl Gainesville FL 32607
Fax: (352) 331-1906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0058527 Florida

Profile Details

NPI number 1912999665
LBN Legal business name Brasington, Allen T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Jul 10th, 2009 - about 15 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 1912999665 NPPES
Florida Other 110058871 RAILROAD MEDICARE
Florida MEDICAID 058525400 RAILROAD MEDICARE
Florida Other 14461 RAILROAD MEDICARE
Florida Other P00713824 RAILROAD MEDICARE

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