Brantz, Richard Michael

Brantz, Richard Michael is an individual health care provider with primary practice located at 841 E Hunting Park Ave Suite 110, Philadelphia PA 19124-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brantz, Richard Michael can be contacted via phone (215) 535-4494.

Contact Information

Primary practice address
841 E Hunting Park Ave Suite 110 Philadelphia PA 19124-4800
Phone: (215) 535-4494
Fax: (215) 535-4203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS003987L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 193400000X Pennsylvania

Profile Details

NPI number 1912903022
LBN Legal business name Brantz, Richard Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 16th, 2016 - about 10 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 1912903022 NPPES
Pennsylvania Other 6128979 CIGNA
Pennsylvania MEDICAID 00712055 CIGNA
Pennsylvania Other 1003858 CIGNA
Pennsylvania Other 00712055 CIGNA
Pennsylvania Other 00422 CIGNA
Pennsylvania Other 0018074 CIGNA
Pennsylvania Other 165550 CIGNA
Pennsylvania Other PA10426 CIGNA

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