Patton, Brenda C
Patton, Brenda C is an individual health care provider with primary practice located at 1003 Willow Creek Rd , Prescott AZ 86301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Patton, Brenda C can be contacted via phone (928) 771-5470.Contact Information
Primary practice address
1003 Willow Creek Rd
Prescott AZ 86301
Phone: (928) 771-5470
Fax: (928) 771-5471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 22231 | Arizona |
Profile Details
| NPI number | 1871580522 |
|---|---|
| LBN Legal business name | Patton, Brenda C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2005 |
| Last updated | Dec 5th, 2013 - about 11 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 | 1871580522 | NPPES |
| Arizona | MEDICAID | 323569 | |
| Arizona | Other | 3235690001 | |
| Arizona | MEDICAID | 913113000 | |
| Arizona | Other | P00098328 | |
| Arizona | Other | AZ0744390 |
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