Bramlet, Matthew T

Bramlet, Matthew T is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Suite 301, Peoria IL 61603-3105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Bramlet, Matthew T can be contacted via phone (309) 655-3453.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Suite 301 Peoria IL 61603-3105
Phone: (309) 655-3453
Fax: (309) 655-3410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036-123369 Illinois

Profile Details

NPI number 1164689428
LBN Legal business name Bramlet, Matthew T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Dec 27th, 2010 - about 14 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 1164689428 NPPES
Illinois Other 216946 MEDICARE GROUP PTAN

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