Braun, Robert E.

Braun, Robert E. is an individual health care provider with primary practice located at 3303 Trier Rd , Fort Wayne IN 46815-4768. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Braun, Robert E. can be contacted via phone (260) 484-9990.

Contact Information

Primary practice address
3303 Trier Rd Fort Wayne IN 46815-4768
Phone: (260) 484-9990
Fax: (260) 484-6573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12009838 Indiana
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901016892 Michigan

Profile Details

NPI number 1649290354
LBN Legal business name Braun, Robert E.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 12th, 2013 - about 11 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 1649290354 NPPES
Indiana Other 000000086696 BCBS/ANTHEM
Indiana MEDICAID 200147440 BCBS/ANTHEM

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