Brodsky, Barry O

Brodsky, Barry O is an individual health care provider with primary practice located at 8990 Springbrook Dr Nw Suite 250, Coon Rapids MN 55433-5850. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brodsky, Barry O can be contacted via phone (763) 398-0099.

Contact Information

Primary practice address
8990 Springbrook Dr Nw Suite 250 Coon Rapids MN 55433-5850
Phone: (763) 398-0099
Fax: (763) 398-0124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0888251 Minnesota

Profile Details

NPI number 1942201421
LBN Legal business name Brodsky, Barry O
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 15th, 2008 - about 16 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 1942201421 NPPES
Minnesota MEDICAID 870243800
Minnesota Other 07A15BR

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