Griffin, Brent Eugene

Griffin, Brent Eugene is an individual health care provider with primary practice located at 300 S Bruce St , Marshall MN 56258-1934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Griffin, Brent Eugene can be contacted via phone (507) 532-9661.

Contact Information

Primary practice address
300 S Bruce St Marshall MN 56258-1934
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38188 Minnesota

Profile Details

NPI number 1912068842
LBN Legal business name Griffin, Brent Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Oct 1st, 2018 - about 7 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 1912068842 NPPES
Minnesota MEDICAID 640718800
Minnesota Other 1521690

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