Thorstad, Brett L

Thorstad, Brett L is an individual health care provider with primary practice located at 3024 Business Park Cir , Goodlettsville TN 37072-3132. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Thorstad, Brett L can be contacted via phone (615) 851-6033.

Contact Information

Primary practice address
3024 Business Park Cir Goodlettsville TN 37072-3132
Phone: (615) 851-6033
Fax: (615) 851-2018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD25159 Tennessee
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 25159 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25159 Tennessee

Profile Details

NPI number 1568417772
LBN Legal business name Thorstad, Brett L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568417772 NPPES
Tennessee Other 3102002 BCBS
Tennessee Other 1509319 BCBS
Tennessee MEDICAID 1509319 BCBS
Tennessee Other 4201075 BCBS
Tennessee Other 2644117 BCBS
Tennessee Other 300106387 BCBS
Tennessee Other 4291298 BCBS
Tennessee Other 64917941 BCBS
Tennessee Other 1600684 BCBS
Tennessee Other 3135871 BCBS
Tennessee MEDICAID 64917941 BCBS
Tennessee MEDICAID 3080836 BCBS
Tennessee Other 4076947 BCBS

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