Brotherson, Kurt Jeffrey

Brotherson, Kurt Jeffrey is an individual health care provider with primary practice located at 700 N Westmoreland Rd Bldg B, Lake Forest IL 60045-1679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brotherson, Kurt Jeffrey can be contacted via phone (847) 482-0136.

Contact Information

Primary practice address
700 N Westmoreland Rd Bldg B Lake Forest IL 60045-1679
Phone: (847) 482-0136
Fax: (847) 482-0302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C42117 California

Profile Details

NPI number 1306907779
LBN Legal business name Brotherson, Kurt Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Nov 1st, 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 1306907779 NPPES
California MEDICAID 00C421170

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