Bracamonte, Erika R

Bracamonte, Erika R is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Bracamonte, Erika R can be contacted via phone (520) 874-4135.

Contact Information

Primary practice address
1501 N Campbell Ave Tucson AZ 85724-0001
Phone: (520) 874-4135
Fax: (520) 874-7048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 36183 Arizona

Profile Details

NPI number 1235294182
LBN Legal business name Bracamonte, Erika R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated May 29th, 2008 - about 18 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 1235294182 NPPES
Arizona MEDICAID 172281
Arizona Other ZWCGCR
Arizona Other 36183
Arizona Other P00387430

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