Brandt, Martin

Brandt, Martin is an individual health care provider with primary practice located at 4001 E Sunrise Dr Ste 121 , Tucson AZ 85718-4324. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brandt, Martin can be contacted via phone (520) 209-7000.

Contact Information

Primary practice address
4001 E Sunrise Dr Ste 121 Tucson AZ 85718-4324
Phone: (520) 209-7000
Fax: (520) 209-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2204 Arizona

Profile Details

NPI number 1801882154
LBN Legal business name Brandt, Martin
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Oct 1st, 2020 - about 6 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 1801882154 NPPES
Arizona MEDICAID 709058

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