Brastauskas, Ian Michael

Brastauskas, Ian Michael is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Brastauskas, Ian Michael can be contacted via phone (601) 984-1000.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X T-5445 Mississippi

Profile Details

NPI number 1013411859
LBN Legal business name Brastauskas, Ian Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2018
Last updated Jul 2nd, 2024 - about 5 months 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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