Brothersen, Maynard David
Brothersen, Maynard David is an sole proprietor health care provider with primary practice located at 2660 E 53Rd St Suite 1, Davenport IA 52807-3873. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brothersen, Maynard David can be contacted via phone (563) 388-1887.Contact Information
Primary practice address
2660 E 53Rd St Suite 1
Davenport IA 52807-3873
Phone: (563) 388-1887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 16463 | Iowa |
Profile Details
| NPI number | 1447398995 |
|---|---|
| LBN Legal business name | Brothersen, Maynard David |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2007 |
| 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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