Brawner, John Clifton
Brawner, John Clifton is an sole proprietor health care provider with primary practice located at 1297 Gardner Way , Medford OR 97504-9300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Brawner, John Clifton can be contacted via phone (541) 779-4348.Contact Information
Primary practice address
1297 Gardner Way
Medford OR 97504-9300
Phone: (541) 779-4348
Fax: (541) 779-4348
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD13941 | Oregon |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD13941 | Oregon |
Profile Details
NPI number | 1811078132 |
---|---|
LBN Legal business name | Brawner, John Clifton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 17th, 2006 |
Last updated | Sep 8th, 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 | 1811078132 | NPPES |
Oregon | MEDICAID | 221911 | |
Oregon | Other | 4898004 |
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