Braastad, Robert A.
Braastad, Robert A. is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 4500, Normal IL 61761-3551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Braastad, Robert A. can be contacted via phone (309) 556-8293.Contact Information
Primary practice address
1302 Franklin Ave Suite 4500
Normal IL 61761-3551
Phone: (309) 556-8293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 22973 | Wisconsin |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-091224 | Illinois |
Profile Details
| NPI number | 1487619573 |
|---|---|
| LBN Legal business name | Braastad, Robert A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | May 2nd, 2022 - about 4 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 | 1487619573 | NPPES |
| Illinois | MEDICAID | 036091224 | |
| Illinois | Other | 05732097 | |
| Illinois | Other | 017331 |
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