Braxton, Willes Todd
Braxton, Willes Todd is an individual health care provider with primary practice located at 5201 Lee Rd Kaehler Memorial Medical Clinic, Buzzards Bay MA 02542-1313. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Braxton, Willes Todd can be contacted via phone (508) 968-6578.Contact Information
Primary practice address
5201 Lee Rd Kaehler Memorial Medical Clinic
Buzzards Bay MA 02542-1313
Phone: (508) 968-6578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | B1673135 | California |
Profile Details
| NPI number | 1710962642 |
|---|---|
| LBN Legal business name | Braxton, Willes Todd |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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