Braak, Beverly L

Braak, Beverly L is an individual health care provider with primary practice located at 2835 Fort Missoula Rd 203, Missoula MT 59804-7423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Braak, Beverly L can be contacted via phone (406) 327-3875.

Contact Information

Primary practice address
2835 Fort Missoula Rd 203 Missoula MT 59804-7423
Phone: (406) 327-3875
Fax: (406) 327-3876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11310 Montana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33235 Wisconsin

Profile Details

NPI number 1922054550
LBN Legal business name Braak, Beverly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 25th, 2015 - about 11 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 1922054550 NPPES
Wisconsin MEDICAID 31851000

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