Bravin, Daniel Allen
Bravin, Daniel Allen is an individual health care provider with primary practice located at 3800 S National Ave Ste 600 , Springfield MO 65807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Bravin, Daniel Allen can be contacted via phone (417) 875-3846.Contact Information
Primary practice address
3800 S National Ave Ste 600
Springfield MO 65807
Phone: (417) 875-3846
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2019026844 | Missouri |
Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | A153736 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 2019026844 | Missouri |
Profile Details
NPI number | 1194162958 |
---|---|
LBN Legal business name | Bravin, Daniel Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2013 |
Last updated | Sep 12th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194162958 | NPPES |
Missouri | MEDICAID | 200072314 |
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