Bratton, Angela Renee
Bratton, Angela Renee is an individual health care provider with primary practice located at 1623 Central Ave , Los Alamos NM 87544-3018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Bratton, Angela Renee can be contacted via phone (505) 662-5444.Contact Information
Primary practice address
1623 Central Ave
Los Alamos NM 87544-3018
Phone: (505) 662-5444
Fax: (505) 662-6109
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 93-219 | New Mexico |
Profile Details
NPI number | 1962402081 |
---|---|
LBN Legal business name | Bratton, Angela Renee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | Apr 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962402081 | NPPES |
New Mexico | Other | NM003195 | BC BS OF NM |
New Mexico | MEDICAID | 05676 | BC BS OF NM |
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