Gaetino, Brandon
Gaetino, Brandon is an individual health care provider with primary practice located at 2006 Hogback Rd Ste 5A , Ann Arbor MI 48105-9750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gaetino, Brandon can be contacted via phone (734) 263-2395.Contact Information
Primary practice address
2006 Hogback Rd Ste 5A
Ann Arbor MI 48105-9750
Phone: (734) 263-2395
Fax: (734) 773-3471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 4301089293 | Michigan |
Profile Details
| NPI number | 1396878054 |
|---|---|
| LBN Legal business name | Gaetino, Brandon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jun 23rd, 2022 - about 2 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 | 1396878054 | NPPES |
| Michigan | Other | 0508145512 | BLUE CROSS BULE SHIELD MI |
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