Braxton, Jeffrey M

Braxton, Jeffrey M is an individual health care provider with primary practice located at 6301 S Mcclintock Dr Ste 115 , Tempe AZ 85283-3393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Braxton, Jeffrey M can be contacted via phone (480) 775-8460.

Contact Information

Primary practice address
6301 S Mcclintock Dr Ste 115 Tempe AZ 85283-3393
Phone: (480) 775-8460
Fax: (480) 775-8464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036084373 Illinois

Profile Details

NPI number 1053415257
LBN Legal business name Braxton, Jeffrey M
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Apr 7th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053415257 NPPES
Other K50963 MEDICARE PTAN

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