Bratcher, Jason Allen
Bratcher, Jason Allen is an individual health care provider with primary practice located at 611N Hudson St , Silver City NM 88061-5436. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bratcher, Jason Allen can be contacted via phone (575) 538-2994.Contact Information
Primary practice address
611N Hudson St
Silver City NM 88061-5436
Phone: (575) 538-2994
Fax: (575) 538-2996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 568 | New Mexico |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 568 | New Mexico |
Profile Details
| NPI number | 1790790160 |
|---|---|
| LBN Legal business name | Bratcher, Jason Allen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Nov 29th, 2015 - about 11 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 | 1790790160 | NPPES |
| New Mexico | MEDICAID | 2590482 | |
| New Mexico | MEDICAID | 78653037 |
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