Bravo, Leticia
Bravo, Leticia is an individual health care provider with primary practice located at 1411 N Race St , Glasgow KY 42141-3474. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bravo, Leticia can be contacted via phone (270) 651-9755.Contact Information
Primary practice address
1411 N Race St
Glasgow KY 42141-3474
Phone: (270) 651-9755
Fax: (270) 651-7562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 171002 | Kentucky |
Profile Details
| NPI number | 1164565180 |
|---|---|
| LBN Legal business name | Bravo, Leticia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1164565180 | NPPES |
| Kentucky | MEDICAID | 64171002 |
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