Greteman, Brian J

Greteman, Brian J is an sole proprietor health care provider with primary practice located at 3883 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2518. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Greteman, Brian J can be contacted via phone (763) 422-0233.

Contact Information

Primary practice address
3883 Coon Rapids Blvd Nw Coon Rapids MN 55433-2518
Fax: (763) 422-9640
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MN 435 Minnesota

Profile Details

NPI number 1114919024
LBN Legal business name Greteman, Brian J
Credentials DPM, PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated May 7th, 2008 - about 16 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 1114919024 NPPES
Other 480032360 RR MEDICARE
Other 1685548 RR MEDICARE
Other 23283 RR MEDICARE
Other 27-25644 RR MEDICARE
Other 41-1984647 RR MEDICARE
Other 109919 RR MEDICARE
Other 1B746GR RR MEDICARE
Other 107452 RR MEDICARE
Other 9H364GR RR MEDICARE
Other HP17598 RR MEDICARE
Other 75928 RR MEDICARE
Other 873725800 RR MEDICARE
MEDICAID 873725800 RR MEDICARE
Other 961510781001 RR MEDICARE

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