Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1922056936
|
|
Endpoint Type
|
DIRECT (Direct Messaging Address)
|
|
Endpoint
|
Harris.Bram.1@21449.direct.athenahealth.com
|
|
Endpoint Description
|
|
|
Endpoint Affiliation
|
Y (Yes, Endpoint is affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
Premier Brain and Spine, LLC
|
|
Affiliation Legal Business Address
|
69 Brunswick Woods Dr
East Brunswick NJ
08816-5601
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
|
|
Use Description
|
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
|
|
Content Description
|
|
|
Other Content Description
|
|
Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1922056936
|
|
Endpoint Type
|
DIRECT (Direct Messaging Address)
|
|
Endpoint
|
Harris.Bram.1@21449.direct.athenahealth.com
|
|
Endpoint Description
|
|
|
Endpoint Affiliation
|
Y (Yes, Endpoint is affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
Premier Brain and Spine, LLC
|
|
Affiliation Legal Business Address
|
1901 Hooper Ave Ste A
Toms River NJ
08753-1600
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
|
|
Use Description
|
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
|
|
Content Description
|
|
|
Other Content Description
|
|