Brasel, Michael Lucas

Brasel, Michael Lucas is an sole proprietor health care provider with primary practice located at 1777 Ellis Ave , Jackson MS 39204-3616. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brasel, Michael Lucas can be contacted via phone (601) 371-0400.

Contact Information

Primary practice address
1777 Ellis Ave Jackson MS 39204-3616
Phone: (601) 371-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00197 Mississippi

Profile Details

NPI number 1184047904
LBN Legal business name Brasel, Michael Lucas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2014
Last updated Jan 30th, 2014 - about 12 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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