Bravo, Paco Eduardo
Bravo, Paco Eduardo is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Cardiology, which is considered as his primary health care specialty. Bravo, Paco Eduardo can be contacted via phone (215) 662-3000.Contact Information
Primary practice address
3400 Spruce St
Philadelphia PA 19104-4238
Phone: (215) 662-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD462995 | Pennsylvania |
Profile Details
| NPI number | 1215140900 |
|---|---|
| LBN Legal business name | Bravo, Paco Eduardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Feb 6th, 2018 - about 8 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 | 1215140900 | NPPES |
| Washington | Other | 502539 | UWPIN |
| Washington | MEDICAID | 580231800 | UWPIN |
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