Brookshire, Miranda Prewitt

Brookshire, Miranda Prewitt is an individual health care provider with primary practice located at 29 Canary Ln , Winchester KY 40391-1645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brookshire, Miranda Prewitt can be contacted via phone (859) 745-4469.

Contact Information

Primary practice address
29 Canary Ln Winchester KY 40391-1645
Phone: (859) 745-4469
Fax: (859) 745-6918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA495 Kentucky

Profile Details

NPI number 1679627855
LBN Legal business name Brookshire, Miranda Prewitt
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 26th, 2016 - about 8 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 1679627855 NPPES
Kentucky MEDICAID 95005765

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