Brandt, Stephen Raymond
Brandt, Stephen Raymond is an individual health care provider with primary practice located at 105 E Watts St , Enterprise AL 36330-2511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brandt, Stephen Raymond can be contacted via phone (334) 393-5437.Contact Information
Primary practice address
105 E Watts St
Enterprise AL 36330-2511
Phone: (334) 393-5437
Fax: (334) 393-4185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16264 | Alabama |
Profile Details
| NPI number | 1942302435 |
|---|---|
| LBN Legal business name | Brandt, Stephen Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2006 |
| Last updated | May 15th, 2017 - about 9 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 | 1942302435 | NPPES |
| Alabama | MEDICAID | 167510 |
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