Brison, Michael R
Brison, Michael R is an sole proprietor health care provider with primary practice located at 2901 Transport St Se , Albuquerque NM 87106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Brison, Michael R can be contacted via phone (505) 262-7110.Contact Information
Primary practice address
2901 Transport St Se
Albuquerque NM 87106
Phone: (505) 262-7110
Fax: (505) 262-7308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | CNP-03044 | New Mexico |
Profile Details
| NPI number | 1942756630 |
|---|---|
| LBN Legal business name | Brison, Michael R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2016 |
| Last updated | Feb 1st, 2024 - about 10 months 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 | 1942756630 | NPPES |
| New Mexico | MEDICAID | 62851764 |
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