Brandsmeier, Charles R
Brandsmeier, Charles R is an individual health care provider with primary practice located at 750 Redwood Hwy Frontage Rd Ste 1210 , Mill Valley CA 94941-2483. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Brandsmeier, Charles R can be contacted via phone (888) 663-6331.Contact Information
Primary practice address
750 Redwood Hwy Frontage Rd Ste 1210
Mill Valley CA 94941-2483
Phone: (888) 663-6331
Fax: (415) 252-7176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95011657 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7960-033 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 7960 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 7960 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 95011657 | California |
Profile Details
| NPI number | 1891214763 |
|---|---|
| LBN Legal business name | Brandsmeier, Charles R |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2017 |
| Last updated | Oct 29th, 2024 - about 2 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 | 1891214763 | NPPES |
| Wisconsin | MEDICAID | 100071920 |
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