Huecker, Braidi Rose
Huecker, Braidi Rose is an individual health care provider with primary practice located at 1919 State St Ste 340 , New Albany IN 47150-6807. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Huecker, Braidi Rose can be contacted via phone (812) 945-5233.Contact Information
Primary practice address
1919 State St Ste 340
New Albany IN 47150-6807
Phone: (812) 945-5233
Fax: (812) 945-2804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01069787A | Indiana |
Profile Details
| NPI number | 1205053725 |
|---|---|
| LBN Legal business name | Huecker, Braidi Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Nov 5th, 2020 - 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 | 1205053725 | NPPES |
| Indiana | MEDICAID | 201037020A |
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