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
Phone: (763) 422-0233
Fax: (763) 422-9640
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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