Hagood, Brance Edwin
Hagood, Brance Edwin is an sole proprietor health care provider with primary practice located at 215 W Broadway St Suite A, Rogersville TN 37857-3280. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hagood, Brance Edwin can be contacted via phone (423) 272-2345.Contact Information
Primary practice address
215 W Broadway St Suite A
Rogersville TN 37857-3280
Phone: (423) 272-2345
Fax: (423) 272-3324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODT001413 | Tennessee |
Profile Details
| NPI number | 1982648275 |
|---|---|
| LBN Legal business name | Hagood, Brance Edwin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jan 18th, 2010 - about 16 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 | 1982648275 | NPPES |
| Tennessee | MEDICAID | 3598321 | |
| Tennessee | Other | 3123779 |
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