Treece, Brannon A.

Treece, Brannon A. is an individual health care provider with primary practice located at 2205 W Parker Rd , Jonesboro AR 72404-7778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Treece, Brannon A. can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
2205 W Parker Rd Jonesboro AR 72404-7778
Fax: (870) 934-3636
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-5138 Arkansas

Profile Details

NPI number 1588783666
LBN Legal business name Treece, Brannon A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Oct 18th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588783666 NPPES
Arkansas MEDICAID 164797001

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