Letzen, Brian
Letzen, Brian is an individual health care provider with primary practice located at 1600 S Andrews Ave , Fort Lauderdale FL 33316-2510. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Letzen, Brian can be contacted via phone (954) 355-5550.Contact Information
Primary practice address
1600 S Andrews Ave
Fort Lauderdale FL 33316-2510
Phone: (954) 355-5550
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME147139 | Florida |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME147139 | Florida |
Profile Details
NPI number | 1033596317 |
---|---|
LBN Legal business name | Letzen, Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 6th, 2015 |
Last updated | Mar 14th, 2022 - about 2 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 | 1033596317 | NPPES |
Florida | MEDICAID | 110769400 | |
Florida | Other | TO7J6 | |
Florida | Other | NZ991 |
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