Bratland, Michael Jacob
Bratland, Michael Jacob is an individual health care provider with primary practice located at 1333 W Harvard Ave , Roseburg OR 97470. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bratland, Michael Jacob can be contacted via phone (541) 672-2747.Contact Information
Primary practice address
1333 W Harvard Ave
Roseburg OR 97470
Phone: (541) 672-2747
Fax: (541) 672-2757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D8594 | Oregon |
Profile Details
| NPI number | 1235128745 |
|---|---|
| LBN Legal business name | Bratland, Michael Jacob |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Mar 23rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235128745 | NPPES |
| Oregon | MEDICAID | 023810 |
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