Brausa, Brian M

Brausa, Brian M is an individual health care provider with primary practice located at 408 Lake St , Roscommon MI 48653. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brausa, Brian M can be contacted via phone (989) 275-3668.

Contact Information

Primary practice address
408 Lake St Roscommon MI 48653
Phone: (989) 275-3668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002144 Michigan

Profile Details

NPI number 1659411619
LBN Legal business name Brausa, Brian M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Nov 1st, 2010 - 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 1659411619 NPPES
Michigan Other 4857210430 BCBS PIN #
Michigan Other BB002144 BCBS PIN #
Michigan MEDICAID 5198720 BCBS PIN #

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