Bravo, Paco Eduardo

Bravo, Paco Eduardo is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Cardiology, which is considered as his primary health care specialty. Bravo, Paco Eduardo can be contacted via phone (215) 662-3000.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104-4238
Phone: (215) 662-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X MD462995 Pennsylvania

Profile Details

NPI number 1215140900
LBN Legal business name Bravo, Paco Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Feb 6th, 2018 - about 6 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 1215140900 NPPES
Washington Other 502539 UWPIN
Washington MEDICAID 580231800 UWPIN

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