Willes Todd Braxton in Buzzards Bay - Military Health Care Provider
Willes Todd Braxton - NPI 1710962642
Willes Todd Braxton is a Military Health Care Provider in Buzzards Bay, Massachusetts. Willes Todd Braxton practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Willes Todd Braxton is 1710962642. The last update date is 2007-07-08.
Willes Todd Braxton's current location address is 5201 Lee Rd, Buzzards Bay, Massachusetts. You can contact this provider via phone number 5089686578. The mailing address for Willes Todd Braxton is 5201 Lee Rd, Buzzards Bay, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willes Todd Braxton |
|---|---|
| Address | 5201 Lee Rd, Buzzards Bay, Massachusetts |
| Phone Number | 5089686578 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710962642 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5201 Lee Rd |
|---|---|
| City | Buzzards Bay |
| State | Massachusetts (MA) |
| Post Code | 25421313 |
| Phone Number | 5089686578 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | B1673135 |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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Post Comment/ Review Below
What is the unique identifier code issued to Willes Todd Braxton by the Centers for Medicare & Medicaid Services (CMS)?
The Willes Todd Braxton has been assigned the NPI (National Provider Identifier) 1710962642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Willes Todd Braxton is located?
The Willes Todd Braxton is situated at the following address: 5201 Lee Rd, Buzzards Bay, MA, 25421313.
What is Willes Todd Braxton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Willes Todd Braxton is Military Health Care Provider, and the taxonomy code that classifies this field of practice is 171000000X.
On what date did the Willes Todd Braxton receive the assignment of its 1710962642 from the Centers for Medicare & Medicaid Services?
The Willes Todd Braxton was issued its 1710962642 by the Centers for Medicare & Medicaid Services on 2005-12-14.
As of what date was the information pertaining to Willes Todd Braxton, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Willes Todd Braxton, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY