Brinkman, John D

Brinkman, John D is an individual health care provider with primary practice located at 1555 Kingsley Ave Suite 503, Orange Park FL 32073-9207. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Brinkman, John D can be contacted via phone (904) 278-5088.

Contact Information

Primary practice address
1555 Kingsley Ave Suite 503 Orange Park FL 32073-9207
Fax: (904) 264-4910
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17275 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X ME66544 Florida

Profile Details

NPI number 1003898982
LBN Legal business name Brinkman, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Aug 4th, 2011 - about 13 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 1003898982 NPPES
Florida Other 4506932 AETNA
Florida MEDICAID 47072366813 AETNA
Florida Other 020029570 AETNA
Florida Other 25509 AETNA
Florida MEDICAID 275828800 AETNA
Florida Other 9912625 AETNA
Florida Other 239210 AETNA

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