Barstad, Brian K.

Barstad, Brian K. is an individual health care provider with primary practice located at 4804 W Clearwater Ave , Kennewick WA 99336-2119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Barstad, Brian K. can be contacted via phone (509) 942-2355.

Contact Information

Primary practice address
4804 W Clearwater Ave Kennewick WA 99336-2119
Phone: (509) 942-2355
Fax: (509) 222-1289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD60310747 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42142 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60310747 Washington

Profile Details

NPI number 1871596346
LBN Legal business name Barstad, Brian K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Sep 28th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871596346 NPPES
Minnesota MEDICAID 123492700

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