Smith, Brennen D
Smith, Brennen D is an individual health care provider with primary practice located at 2400 St Francis Dr , Breckenridge MN 56520-1025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Smith, Brennen D can be contacted via phone (218) 643-3000.Contact Information
Primary practice address
2400 St Francis Dr
Breckenridge MN 56520-1025
Phone: (218) 643-3000
Fax: (218) 643-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 15379 | North Dakota |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 34.010178 | Ohio |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 61204 | Minnesota |
Profile Details
| NPI number | 1376753277 |
|---|---|
| LBN Legal business name | Smith, Brennen D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Oct 2nd, 2019 - about 5 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 | 1376753277 | NPPES |
| North Dakota | MEDICAID | 1471472 | |
| North Dakota | MEDICAID | 3158630 | |
| North Dakota | Other | 000000480404 | |
| North Dakota | MEDICAID | 3810022462 |
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