Brandsted, Mark W

Brandsted, Mark W is an individual health care provider with primary practice located at 823 Sw Mulvane St Ste 275 , Topeka KS 66606-1687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Brandsted, Mark W can be contacted via phone (785) 270-4355.

Contact Information

Primary practice address
823 Sw Mulvane St Ste 275 Topeka KS 66606-1687
Phone: (785) 270-4355
Fax: (785) 270-4364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 04-17547 Kansas

Profile Details

NPI number 1073626065
LBN Legal business name Brandsted, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Apr 6th, 2018 - about 6 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 1073626065 NPPES
Kansas Other 068002070 MEDICARE PTAN
Kansas MEDICAID 100138040B MEDICARE PTAN
Kansas Other 340006328 MEDICARE PTAN

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