Brayshaw, Jeffrey L

Brayshaw, Jeffrey L is an individual health care provider with primary practice located at 1501 Oakdale Rd Suite 218, Modesto CA 95355-3381. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brayshaw, Jeffrey L can be contacted via phone (209) 572-4222.

Contact Information

Primary practice address
1501 Oakdale Rd Suite 218 Modesto CA 95355-3381
Phone: (209) 572-4222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17131 California

Profile Details

NPI number 1932284338
LBN Legal business name Brayshaw, Jeffrey L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated May 26th, 2010 - about 14 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 1932284338 NPPES
California Other PA17131 PHYSICIAN ASSISTANT

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