Brazg, Ronald L
Brazg, Ronald L is an individual health care provider with primary practice located at 723 Sw 10Th St Ste 250, Renton WA 98057-5223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Brazg, Ronald L can be contacted via phone (425) 656-4040.Contact Information
Primary practice address
723 Sw 10Th St Ste 250
Renton WA 98057-5223
Phone: (425) 656-4040
Fax: (425) 656-4046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD00027071 | Washington |
Profile Details
| NPI number | 1194746131 |
|---|---|
| LBN Legal business name | Brazg, Ronald L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jan 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194746131 | NPPES |
| Washington | Other | 110202819 | RR MEDICARE |
| Washington | MEDICAID | 1076843 | RR MEDICARE |
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