Brecht, Blaine Anthony

Brecht, Blaine Anthony is an individual health care provider with primary practice located at 523 N 3Rd St , Brainerd MN 56401-3054. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Brecht, Blaine Anthony can be contacted via phone (218) 829-2861.

Contact Information

Primary practice address
523 N 3Rd St Brainerd MN 56401-3054
Phone: (218) 829-2861
Fax: (218) 828-7611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35351 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35351 Minnesota

Profile Details

NPI number 1417923954
LBN Legal business name Brecht, Blaine Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 29th, 2016 - about 9 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 1417923954 NPPES
Minnesota MEDICAID 473808000

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