Brakeley, Johana Kashiwa

Brakeley, Johana Kashiwa is an sole proprietor health care provider with primary practice located at 5 South St , Middlebury VT 05753-1319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Brakeley, Johana Kashiwa can be contacted via phone (802) 388-1002.

Contact Information

Primary practice address
5 South St Middlebury VT 05753-1319
Phone: (802) 388-1002
Fax: (802) 388-1004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 0420006226 Vermont

Profile Details

NPI number 1780786376
LBN Legal business name Brakeley, Johana Kashiwa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1780786376 NPPES
Vermont MEDICAID 0005148
Vermont Other 26V004
Vermont Other 481306
Vermont Other 0005148

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