Senior, Brandi Rae
Senior, Brandi Rae is an individual health care provider with primary practice located at 16 N La Plata Ct , La Plata MD 20646-4283. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Senior, Brandi Rae can be contacted via phone (301) 392-3330.Contact Information
Primary practice address
16 N La Plata Ct
La Plata MD 20646-4283
Phone: (301) 392-3330
Fax: (301) 392-3950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C0004239 | Maryland |
Profile Details
| NPI number | 1346415890 |
|---|---|
| LBN Legal business name | Senior, Brandi Rae |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Aug 8th, 2017 - about 9 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 | 1346415890 | NPPES |
| Maryland | Other | P01658288 | RR MEDICARE |
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