Brakke, Nathan R

Brakke, Nathan R is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1971. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Brakke, Nathan R can be contacted via phone (757) 668-7000.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1971
Phone: (757) 668-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A108775 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD-52566 Iowa
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD-52566 Iowa
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X A108775 California

Profile Details

NPI number 1972716470
LBN Legal business name Brakke, Nathan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Mar 14th, 2024 - about 8 months 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 1972716470 NPPES
California MEDICAID 1972716470

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