Brillantes, Rafael C

Brillantes, Rafael C is an sole proprietor health care provider with primary practice located at 426 N Jackson St , Jackson MI 49201-1235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brillantes, Rafael C can be contacted via phone (517) 788-6446.

Contact Information

Primary practice address
426 N Jackson St Jackson MI 49201-1235
Phone: (517) 788-6446
Fax: (517) 788-9035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301032396 Michigan

Profile Details

NPI number 1932197324
LBN Legal business name Brillantes, Rafael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Jul 8th, 2007 - about 18 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 1932197324 NPPES
Michigan MEDICAID 4179588
Michigan Other 0420044
Michigan Other C1798
Michigan Other 1103842782

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