Braxton, Brian A
Braxton, Brian A is an sole proprietor health care provider with primary practice located at 284 Palisades Dr , Morgantown WV 26508-9009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Braxton, Brian A can be contacted via phone (304) 598-0103.Contact Information
Primary practice address
284 Palisades Dr
Morgantown WV 26508-9009
Phone: (304) 598-0103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 22544 | West Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35079260 | Ohio |
Profile Details
| NPI number | 1528036555 |
|---|---|
| LBN Legal business name | Braxton, Brian A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Mar 18th, 2008 - about 18 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 | 1528036555 | NPPES |
| Ohio | MEDICAID | 2447516 |
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