Bredvik, Brian K

Bredvik, Brian K is an individual health care provider with primary practice located at 3640 Main St. Suite 205, Springfield MA 01107-1145. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bredvik, Brian K can be contacted via phone (413) 739-7367.

Contact Information

Primary practice address
3640 Main St. Suite 205 Springfield MA 01107-1145
Phone: (413) 739-7367
Fax: (413) 737-2686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 152892 Massachusetts

Profile Details

NPI number 1689660284
LBN Legal business name Bredvik, Brian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 23rd, 2014 - about 10 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 1689660284 NPPES
Massachusetts Other 152892 CONNECTICARE
Massachusetts Other 010152892MA01 CONNECTICARE
Massachusetts Other 20689 CONNECTICARE
Massachusetts Other 152892 CONNECTICARE
Massachusetts Other 180032298 CONNECTICARE
Massachusetts Other 0115328 CONNECTICARE
Massachusetts Other J18467 CONNECTICARE
Massachusetts Other 0804380 CONNECTICARE
Massachusetts Other 151584 CONNECTICARE
Massachusetts Other 1541871003 CONNECTICARE
Massachusetts Other P1686817 CONNECTICARE

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