Edmisten, Brooke Osborne
Edmisten, Brooke Osborne is an individual health care provider with primary practice located at 1126 N Church St Suite 300, Greensboro NC 27401-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Edmisten, Brooke Osborne can be contacted via phone (336) 547-1752.Contact Information
Primary practice address
1126 N Church St Suite 300
Greensboro NC 27401-1000
Phone: (336) 547-1752
Fax: (336) 547-1858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-00129 | North Carolina |
Profile Details
| NPI number | 1811977184 |
|---|---|
| LBN Legal business name | Edmisten, Brooke Osborne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Oct 16th, 2019 - about 5 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 | 1811977184 | NPPES |
| North Carolina | MEDICAID | 8101245 |
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