Brandt, Douglas W
Brandt, Douglas W is an individual health care provider with primary practice located at 3269 Stockton Hill Rd , Kingman AZ 86409-3619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brandt, Douglas W can be contacted via phone (928) 757-0620.Contact Information
Primary practice address
3269 Stockton Hill Rd
Kingman AZ 86409-3619
Phone: (928) 757-0620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 49933 | Minnesota |
Profile Details
| NPI number | 1184821092 |
|---|---|
| LBN Legal business name | Brandt, Douglas W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Aug 31st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184821092 | NPPES |
| Minnesota | MEDICAID | 073195000 |
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