Braxton, Frank W
Braxton, Frank W is an individual health care provider with primary practice located at 1349 N Mount Auburn Rd , Cape Girardeau MO 63701-1727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Braxton, Frank W can be contacted via phone (573) 334-9564.Contact Information
Primary practice address
1349 N Mount Auburn Rd
Cape Girardeau MO 63701-1727
Phone: (573) 334-9564
Fax: (573) 334-1879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD018849E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036-074275 | Illinois |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D0021892 | Maryland |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | R9D58 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | N-8307 | Arkansas |
Profile Details
| NPI number | 1639120389 |
|---|---|
| LBN Legal business name | Braxton, Frank W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Oct 20th, 2020 - 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 | 1639120389 | NPPES |
| Arkansas | MEDICAID | 110164001 | |
| Arkansas | Other | 110179816 | |
| Arkansas | Other | 1370190 | |
| Arkansas | MEDICAID | 202071478 | |
| Arkansas | Other | 149786 | |
| Arkansas | Other | 5J228 | |
| Arkansas | Other | 096561 | |
| Arkansas | MEDICAID | 209765221 | |
| Arkansas | Other | 4430 |
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