Ford, Brian Robert

Ford, Brian Robert is an individual health care provider with primary practice located at 2700 23Rd St , Spirit Lake IA 51360-1158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ford, Brian Robert can be contacted via phone (712) 336-2410.

Contact Information

Primary practice address
2700 23Rd St Spirit Lake IA 51360-1158
Fax: (712) 336-3241
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21046 Iowa

Profile Details

NPI number 1447220116
LBN Legal business name Ford, Brian Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 16th, 2009 - about 15 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 1447220116 NPPES
Iowa MEDICAID 2177063

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