Stilson, Brandon J
Stilson, Brandon J is an individual health care provider with primary practice located at 786 W Pioneer Blvd Ste A , Mesquite NV 89027-8862. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stilson, Brandon J can be contacted via phone (702) 345-5000.Contact Information
Primary practice address
786 W Pioneer Blvd Ste A
Mesquite NV 89027-8862
Phone: (702) 345-5000
Fax: (702) 345-2000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR.0057179 | Colorado |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1508201880 | Nevada |
Profile Details
| NPI number | 1508201880 |
|---|---|
| LBN Legal business name | Stilson, Brandon J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2013 |
| Last updated | Oct 20th, 2022 - about 3 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 | 1508201880 | NPPES |
| Nevada | Other | 20972 | STATE LICENSE |
| Nevada | MEDICAID | 57175047 | STATE LICENSE |
| Nevada | MEDICAID | 1508201880 | STATE LICENSE |
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