Brantner, Richard

Brantner, Richard is an individual health care provider with primary practice located at 413 Lilly Rd Ne , Olympia WA 98506-5133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brantner, Richard can be contacted via phone (360) 491-9480.

Contact Information

Primary practice address
413 Lilly Rd Ne Olympia WA 98506-5133
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00039608 Washington

Profile Details

NPI number 1427005677
LBN Legal business name Brantner, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1427005677 NPPES
Other 0659BR REGENCE BS
MEDICAID 268756 REGENCE BS
Other 168556 REGENCE BS
MEDICAID 8282097 REGENCE BS
Other 8935575 REGENCE BS
Other A002 REGENCE BS
Other G62636 REGENCE BS

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