Brattlof, Brian D

Brattlof, Brian D is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brattlof, Brian D can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Fax: (218) 732-2857
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33031 Minnesota

Profile Details

NPI number 1992751820
LBN Legal business name Brattlof, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 29th, 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 1992751820 NPPES
Fm Other DA9041015604 PREFERRED ONE #
Fm Other 27943BR PREFERRED ONE #
Fm MEDICAID 529297200 PREFERRED ONE #
Fm Other 54913BR PREFERRED ONE #
Fm Other 20574BR PREFERRED ONE #
Fm Other MN200000 PREFERRED ONE #
Fm Other 5117 PREFERRED ONE #
Fm Other 819328 PREFERRED ONE #
Fm Other 10064 PREFERRED ONE #
Fm Other 1700499 PREFERRED ONE #
Fm Other 1700584 PREFERRED ONE #
Fm Other 10475 PREFERRED ONE #
Fm MEDICAID 18686 PREFERRED ONE #
Fm Other 1M789BR PREFERRED ONE #

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