Brandt, Gregory E

Brandt, Gregory E is an individual health care provider with primary practice located at 301 N 8Th St , Springfield IL 62701-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Brandt, Gregory E can be contacted via phone (217) 545-5817.

Contact Information

Primary practice address
301 N 8Th St Springfield IL 62701-1041
Phone: (217) 545-5817
Fax: (217) 545-4117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 036-091442 Illinois

Profile Details

NPI number 1356326821
LBN Legal business name Brandt, Gregory E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Oct 20th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356326821 NPPES
Illinois MEDICAID 036091442

Popular Providers