Branch, David A
Branch, David A is an sole proprietor health care provider with primary practice located at 55 Broadway , Bangor ME 04401-5201. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Branch, David A can be contacted via phone (207) 947-5657.Contact Information
Primary practice address
55 Broadway
Bangor ME 04401-5201
Phone: (207) 947-5657
Fax: (207) 947-1894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 015284 | Maine |
Profile Details
| NPI number | 1346337151 |
|---|---|
| LBN Legal business name | Branch, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 18th, 2012 - about 13 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 | 1346337151 | NPPES |
| Maine | MEDICAID | 163590099 |
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