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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1962402081 NPPES
New Mexico Other NM003195 BC BS OF NM
New Mexico MEDICAID 05676 BC BS OF NM

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