Tibbitts, Brandon
Tibbitts, Brandon is an sole proprietor health care provider with primary practice located at 1290 Silas Deane Hwy , Wethersfield CT 06109-4337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Tibbitts, Brandon can be contacted via phone (860) 777-1280.Contact Information
Primary practice address
1290 Silas Deane Hwy
Wethersfield CT 06109-4337
Phone: (860) 777-1280
Fax: (860) 777-1276
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 003752 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 003752 | Connecticut |
Profile Details
NPI number | 1205276474 |
---|---|
LBN Legal business name | Tibbitts, Brandon |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2013 |
Last updated | Oct 10th, 2023 - 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.
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