Brandt, Matthew

Brandt, Matthew is an individual health care provider with primary practice located at 1423 N Jefferson Ave , Springfield MO 65802-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brandt, Matthew can be contacted via phone (417) 269-6583.

Contact Information

Primary practice address
1423 N Jefferson Ave Springfield MO 65802-1917
Phone: (417) 269-6583
Fax: (417) 269-6573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2001001463 Missouri

Profile Details

NPI number 1710974118
LBN Legal business name Brandt, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Dec 27th, 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 1710974118 NPPES
Missouri MEDICAID 206006603
Missouri MEDICAID 1710974118

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