Eide, Brook Matthew

Eide, Brook Matthew is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Eide, Brook Matthew can be contacted via phone (605) 755-8222.

Contact Information

Primary practice address
353 Fairmont Blvd Rapid City SD 57701-7375
Phone: (605) 755-8222
Fax: (605) 719-4203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7264 South Dakota

Profile Details

NPI number 1609093608
LBN Legal business name Eide, Brook Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jan 11th, 2019 - about 5 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 1609093608 NPPES
South Dakota MEDICAID 1609093608
South Dakota MEDICAID 1609093608
South Dakota MEDICAID 1452735

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