Brassart, Jeffrey D

Brassart, Jeffrey D is an individual health care provider with primary practice located at 701 Will Halsey Way , Madison AL 35758-2592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brassart, Jeffrey D can be contacted via phone (256) 461-7440.

Contact Information

Primary practice address
701 Will Halsey Way Madison AL 35758-2592
Phone: (256) 461-7440
Fax: (256) 461-7168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12787 Alabama

Profile Details

NPI number 1033158233
LBN Legal business name Brassart, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033158233 NPPES
Alabama MEDICAID 000031911
Alabama Other 0000120055505
Alabama Other 51031911
Alabama Other 4259162

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