Burgos, Geny Brabante
Burgos, Geny Brabante is an individual health care provider with primary practice located at 123 S Commerce St Ste E, Stockton CA 95202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Burgos, Geny Brabante can be contacted via phone (209) 939-9512.Contact Information
Primary practice address
123 S Commerce St Ste E
Stockton CA 95202
Phone: (209) 939-9512
Fax: (209) 939-1226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A53610 | California |
Profile Details
| NPI number | 1962473983 |
|---|---|
| LBN Legal business name | Burgos, Geny Brabante |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962473983 | NPPES |
| California | MEDICAID | 00A536100 |
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