Brickner, Kurt A
Brickner, Kurt A is an individual health care provider with primary practice located at 1813 W Harvard Ave Suite 241, Roseburg OR 97471-2752. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brickner, Kurt A can be contacted via phone (541) 673-5579.Contact Information
Primary practice address
1813 W Harvard Ave Suite 241
Roseburg OR 97471-2752
Phone: (541) 673-5579
Fax: (541) 673-0576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO20870 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DO20870 | Oregon |
Profile Details
| NPI number | 1023092178 |
|---|---|
| LBN Legal business name | Brickner, Kurt A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Apr 25th, 2016 - about 8 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 | 1023092178 | NPPES |
| Oregon | MEDICAID | 287707 |
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