Brayshaw, Alice E

Brayshaw, Alice E is an individual health care provider with primary practice located at 1255 Liberty Street , Redding CA 96001-0814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Brayshaw, Alice E can be contacted via phone (530) 246-2467.

Contact Information

Primary practice address
1255 Liberty Street Redding CA 96001-0814
Phone: (530) 246-2467
Fax: (530) 242-9460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA18032 California

Profile Details

NPI number 1215007661
LBN Legal business name Brayshaw, Alice E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 27th, 2012 - about 13 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 1215007661 NPPES
California Other PA18032 PA LICENSE NUMBER
California Other 680310525 PA LICENSE NUMBER
California MEDICAID GR0079250 PA LICENSE NUMBER

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