Brandsted, Mark W
Brandsted, Mark W is an individual health care provider with primary practice located at 823 Sw Mulvane St Ste 275 , Topeka KS 66606-1687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Brandsted, Mark W can be contacted via phone (785) 270-4355.Contact Information
Primary practice address
823 Sw Mulvane St Ste 275
Topeka KS 66606-1687
Phone: (785) 270-4355
Fax: (785) 270-4364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 04-17547 | Kansas |
Profile Details
| NPI number | 1073626065 |
|---|---|
| LBN Legal business name | Brandsted, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Apr 6th, 2018 - about 8 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 | 1073626065 | NPPES |
| Kansas | Other | 068002070 | MEDICARE PTAN |
| Kansas | MEDICAID | 100138040B | MEDICARE PTAN |
| Kansas | Other | 340006328 | MEDICARE PTAN |
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