Brosnahan, William Joseph

Brosnahan, William Joseph is an individual health care provider with primary practice located at 4200 University Ave Suite 300, West Des Moines IA 50266-5945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brosnahan, William Joseph can be contacted via phone (515) 401-1950.

Contact Information

Primary practice address
4200 University Ave Suite 300 West Des Moines IA 50266-5945
Phone: (515) 401-1950
Fax: (515) 401-1955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 28850 Iowa

Profile Details

NPI number 1104803873
LBN Legal business name Brosnahan, William Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated May 19th, 2020 - about 4 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 1104803873 NPPES
Iowa Other 28850 TRICARE PROVIDER #
Iowa Other 050040899 TRICARE PROVIDER #
Iowa Other 4262 TRICARE PROVIDER #
Iowa Other IA0165 TRICARE PROVIDER #
Iowa MEDICAID 0122655 TRICARE PROVIDER #
Iowa Other 51342 TRICARE PROVIDER #

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