Coburn, Brandon Lee
Coburn, Brandon Lee is an individual health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506-1200. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Coburn, Brandon Lee can be contacted via phone (855) 988-2273.Contact Information
Primary practice address
1 Medical Center Dr
Morgantown WV 26506-1200
Phone: (855) 988-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | West Virginia | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C5-0011853 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0008580 | Maryland |
Profile Details
| NPI number | 1932706744 |
|---|---|
| LBN Legal business name | Coburn, Brandon Lee |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2020 |
| Last updated | Jun 3rd, 2024 - about 2 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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