Brigham, Jane M

Brigham, Jane M is an individual health care provider with primary practice located at 2 Tampa General Cir 6Stc, Tampa FL 33606-3603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Brigham, Jane M can be contacted via phone (810) 656-4006.

Contact Information

Primary practice address
2 Tampa General Cir 6Stc Tampa FL 33606-3603
Phone: (810) 656-4006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704206781 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 9399322 Florida

Profile Details

NPI number 1336123579
LBN Legal business name Brigham, Jane M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated May 6th, 2015 - about 10 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 1336123579 NPPES
Florida MEDICAID 014643000
Florida MEDICAID 4624120
Florida Other 420B512750
Florida Other 1010140
Florida Other 1010140
Florida MEDICAID 4638994
Florida Other Y0R0F

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