Brannick, Elizabeth A

Brannick, Elizabeth A is an individual health care provider with primary practice located at 1881 W Grand River Ave , Okemos MI 48864-1840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brannick, Elizabeth A can be contacted via phone (517) 339-2100.

Contact Information

Primary practice address
1881 W Grand River Ave Okemos MI 48864-1840
Phone: (517) 339-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111012 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Michigan

Profile Details

NPI number 1073063392
LBN Legal business name Brannick, Elizabeth A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2016
Last updated Oct 27th, 2022 - about 4 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 1073063392 NPPES
Florida MEDICAID 100013700
Florida Other JM891Z

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