Bracken, Thomas Howard

Bracken, Thomas Howard is an individual health care provider with primary practice located at 200 Elm St N , Onamia MN 56359-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bracken, Thomas Howard can be contacted via phone (320) 532-3154.

Contact Information

Primary practice address
200 Elm St N Onamia MN 56359-7901
Phone: (320) 532-3154
Fax: (320) 532-3111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25608 Minnesota

Profile Details

NPI number 1154390227
LBN Legal business name Bracken, Thomas Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 5th, 2014 - about 11 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 1154390227 NPPES
Minnesota Other 01-19433 MEDICA ISLE CLINIC
Minnesota Other 06F85BR MEDICA ISLE CLINIC
Minnesota Other HP20616 MEDICA ISLE CLINIC
Minnesota Other 108798 MEDICA ISLE CLINIC
Minnesota MEDICAID 18358 MEDICA ISLE CLINIC
Minnesota MEDICAID 7703540 MEDICA ISLE CLINIC
Minnesota Other 01-29391 MEDICA ISLE CLINIC
Minnesota Other 33524BR MEDICA ISLE CLINIC
Minnesota Other 01-19434 MEDICA ISLE CLINIC
Minnesota MEDICAID 225208200 MEDICA ISLE CLINIC
Minnesota Other NA9090733003 MEDICA ISLE CLINIC

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