Brazon, Richard Alan
Brazon, Richard Alan is an individual health care provider with primary practice located at 2611 Pittston Ave , Scranton PA 18505. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brazon, Richard Alan can be contacted via phone (570) 346-2046.Contact Information
Primary practice address
2611 Pittston Ave
Scranton PA 18505
Phone: (570) 346-2046
Fax: (570) 346-6527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS021659L | Pennsylvania |
Profile Details
| NPI number | 1548367055 |
|---|---|
| LBN Legal business name | Brazon, Richard Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2006 |
| 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 | 1548367055 | NPPES |
| Pennsylvania | MEDICAID | 0014987280001 |
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