Brandt, Craig S

Brandt, Craig S is an individual health care provider with primary practice located at 1321 11Th Avenue , Altoona PA 16601-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Brandt, Craig S can be contacted via phone (814) 942-2411.

Contact Information

Primary practice address
1321 11Th Avenue Altoona PA 16601-3301
Phone: (814) 942-2411
Fax: (814) 296-2040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD025805E Pennsylvania

Profile Details

NPI number 1760451546
LBN Legal business name Brandt, Craig S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 1st, 2012 - about 12 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 1760451546 NPPES
Pennsylvania MEDICAID 0011237020013
Pennsylvania Other 0105286
Pennsylvania MEDICAID 0011237020014

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