Abeyta, Brandon Jude
Abeyta, Brandon Jude is an individual health care provider with primary practice located at 3390 N Campbell Ave Suite 110, Tucson AZ 85719-2380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Abeyta, Brandon Jude can be contacted via phone (520) 795-7650.Contact Information
Primary practice address
3390 N Campbell Ave Suite 110
Tucson AZ 85719-2380
Phone: (520) 795-7650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | L9049 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2003-0436 | New Mexico |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 51249 | Arizona |
Profile Details
| NPI number | 1841291804 |
|---|---|
| LBN Legal business name | Abeyta, Brandon Jude |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 7th, 2023 - 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 | 1841291804 | NPPES |
| New Mexico | Other | 202013736 | PHP |
| New Mexico | MEDICAID | 168654501 | PHP |
| New Mexico | Other | H0134723 | PHP |
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