Badger, Brian

Badger, Brian is an individual health care provider with primary practice located at 91 Mcmillan Rd , Ochlocknee GA 31773-1427. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Badger, Brian can be contacted via phone (229) 227-9957.

Contact Information

Primary practice address
91 Mcmillan Rd Ochlocknee GA 31773-1427
Phone: (229) 227-9957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3752 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3435 Georgia

Profile Details

NPI number 1568469518
LBN Legal business name Badger, Brian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Feb 11th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568469518 NPPES
Georgia Other 003435 STSTE LICENSE #
Georgia Other 606478700 STSTE LICENSE #
Georgia Other 96317 STSTE LICENSE #
Georgia Other PA3752 STSTE LICENSE #
Georgia MEDICAID 100000360C STSTE LICENSE #

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