Storm, Brett Lee

Storm, Brett Lee is an individual health care provider with primary practice located at 1900 Fairview Ave , Dothan AL 36301-3008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Storm, Brett Lee can be contacted via phone (334) 793-9511.

Contact Information

Primary practice address
1900 Fairview Ave Dothan AL 36301-3008
Phone: (334) 793-9511
Fax: (334) 794-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26961 Alabama
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 26961 Alabama

Profile Details

NPI number 1326021973
LBN Legal business name Storm, Brett Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 15th, 2010 - about 14 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 1326021973 NPPES
Georgia MEDICAID 000532199F
Georgia MEDICAID 009941386
Georgia MEDICAID 009934243
Georgia MEDICAID 370595101
Georgia MEDICAID 009934244
Georgia MEDICAID 009934246

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