Brandt, Greg

Brandt, Greg is an individual health care provider with primary practice located at 907 N. Ankeny Blvd. , Ankeny IA 50023-1711. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brandt, Greg can be contacted via phone (515) 964-1490.

Contact Information

Primary practice address
907 N. Ankeny Blvd. Ankeny IA 50023-1711
Phone: (515) 964-1490
Fax: (515) 965-5603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6962 Iowa

Profile Details

NPI number 1033137344
LBN Legal business name Brandt, Greg
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1033137344 NPPES
Iowa MEDICAID 0216499
Iowa Other 514194

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