Braswell, Nicholas Tilford

Braswell, Nicholas Tilford is an individual health care provider with primary practice located at 1848 Parkland Drive Ne , Cullman AL 35058. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Braswell, Nicholas Tilford can be contacted via phone (256) 739-2885.

Contact Information

Primary practice address
1848 Parkland Drive Ne Cullman AL 35058
Fax: (256) 739-2898
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15204 Alabama

Profile Details

NPI number 1316942154
LBN Legal business name Braswell, Nicholas Tilford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Apr 29th, 2013 - about 11 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 1316942154 NPPES
Alabama MEDICAID 009915890
Alabama Other 19-10011
Alabama Other 3178568-001
Alabama MEDICAID 009908125
Alabama MEDICAID 009915740
Alabama Other 051511975
Alabama Other 051046750
Alabama MEDICAID 009915900
Alabama Other 051046785
Alabama Other 051046738

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