Ingram, Brian R

Ingram, Brian R is an individual health care provider with primary practice located at 1851 Old Hwy 66 , Edgewood NM 87015. 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. Ingram, Brian R can be contacted via phone (505) 286-2396.

Contact Information

Primary practice address
1851 Old Hwy 66 Edgewood NM 87015
Phone: (505) 286-2396
Fax: (505) 286-2398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2018-0050 New Mexico

Profile Details

NPI number 1700368495
LBN Legal business name Ingram, Brian R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Aug 30th, 2018 - about 7 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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