Lawlor, Brett D
Lawlor, Brett D is an individual health care provider with primary practice located at 1136 Jackson Blvd , Rapid City SD 57702-4335. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Lawlor, Brett D can be contacted via phone (605) 721-7246.Contact Information
Primary practice address
1136 Jackson Blvd
Rapid City SD 57702-4335
Phone: (605) 721-7246
Fax: (605) 341-4501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4193 | South Dakota |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 4193 | South Dakota |
Profile Details
NPI number | 1063403848 |
---|---|
LBN Legal business name | Lawlor, Brett D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2005 |
Last updated | Jan 10th, 2011 - about 13 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 | 1063403848 | NPPES |
South Dakota | Other | 31783 | SANDFORD HEALTH PLAN |
South Dakota | Other | 4193 | SANDFORD HEALTH PLAN |
South Dakota | Other | 115322600 | SANDFORD HEALTH PLAN |
South Dakota | Other | 41194500700 | SANDFORD HEALTH PLAN |
South Dakota | MEDICAID | 1063403848 | SANDFORD HEALTH PLAN |
South Dakota | Other | 0006333 | SANDFORD HEALTH PLAN |
South Dakota | Other | 31783 | SANDFORD HEALTH PLAN |
South Dakota | Other | 13327600 | SANDFORD HEALTH PLAN |
South Dakota | Other | 2300560 | SANDFORD HEALTH PLAN |
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