Branstetter, Ted A.

Branstetter, Ted A. is an individual health care provider with primary practice located at 1201 S Miller St , Wenatchee WA 98801-3201. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Branstetter, Ted A. can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
1201 S Miller St Wenatchee WA 98801-3201
Phone: (509) 663-8711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003588 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10003588 Washington

Profile Details

NPI number 1588663835
LBN Legal business name Branstetter, Ted A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 31st, 2023 - about 3 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 1588663835 NPPES
Idaho MEDICAID 805045200
Idaho Other G8871061
Idaho Other G8878127
Idaho Other 16675551
Idaho MEDICAID 8374811

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