Briones, Tristan Sta.Elena

Briones, Tristan Sta.Elena is an sole proprietor health care provider with primary practice located at 1000 Breckenridge St Suite 203, Owensboro KY 42303-0839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Briones, Tristan Sta.Elena can be contacted via phone (270) 926-7228.

Contact Information

Primary practice address
1000 Breckenridge St Suite 203 Owensboro KY 42303-0839
Phone: (270) 926-7228
Fax: (270) 926-6559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 17318 Kentucky

Profile Details

NPI number 1619972346
LBN Legal business name Briones, Tristan Sta.Elena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619972346 NPPES
Kentucky Other 000000040652 ANTHEM PROV.NUMBER
Kentucky Other 260109 ANTHEM PROV.NUMBER
Kentucky Other 50003514 ANTHEM PROV.NUMBER
Kentucky MEDICAID 65907636 ANTHEM PROV.NUMBER
Kentucky Other RO 1278131 ANTHEM PROV.NUMBER
Kentucky Other 311034844001 ANTHEM PROV.NUMBER
Kentucky MEDICAID 64173180 ANTHEM PROV.NUMBER

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