Organization Name: | JAMES S. BRASHEAR MD, PSC |
NPI Number: | 1487973855 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES STANTON BRASHEAR (SOLE PROPRIETOR) |
Mailing Address: | 411 S 2nd St Central City |
State: | KY US |
Postal Code: | 423301639 |
Phone Number: | 2707543880 |
Fax Number: | 2707543898 |
NPI Enumeration Date: | 05/25/2010 |
NPI Last Update Date: | 11/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13237 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |