MICHAEL L BRASEL, PA-C, Medical JACKSON, MS

Contact Information

MICHAEL L BRASEL, PA-C

1777 ELLIS AVE
JACKSON, MS 39204-3616

Phone: 601-371-0400
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MICHAEL L BRASEL · (Male)

NPI #	`1184047904`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	01/30/2014
Last updated	01/30/2014 - About 12 years ago
Sole proprietor ¹	Yes
Identifiers	MS License # PA00197
Hospital affiliation(s)	RIVER REGION HEALTH SYSTEM - (Acute Care) 2100 HWY 61 N VICKSBURG, MS 39183 ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care) 969 LAKELAND DR JACKSON, MS 39216

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MICHAEL L BRASEL, PA-C – NPI #1184047904Medical

Contact Information

Specialty

Medical

NPI Profile & details for MICHAEL L BRASEL · (Male)

Reviews for MICHAEL L BRASEL

MICHAEL L BRASEL, PA-C – NPI #1184047904
Medical