Brustad, Robert A
Brustad, Robert A is an individual health care provider with primary practice located at 1111 East Stadium Blvd , Ann Arbor MI 48104. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Dentist is his primary health care specialty. Brustad, Robert A can be contacted via phone (734) 665-3404.Contact Information
Primary practice address
1111 East Stadium Blvd
Ann Arbor MI 48104
Phone: (734) 665-3404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9733 | Michigan |
| Dental Providers / Prosthodontics | 1223P0700X | 517 | Michigan |
Profile Details
| NPI number | 1861503328 |
|---|---|
| LBN Legal business name | Brustad, Robert A |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| 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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