Brattis, Nicholas James

Brattis, Nicholas James is an sole proprietor health care provider with primary practice located at 400 E 1St St Suite 314, Casper WY 82601-2558. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brattis, Nicholas James can be contacted via phone (307) 266-2020.

Contact Information

Primary practice address
400 E 1St St Suite 314 Casper WY 82601-2558
Phone: (307) 266-2020
Fax: (307) 234-8074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 120-T Wyoming

Profile Details

NPI number 1861527178
LBN Legal business name Brattis, Nicholas James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated May 1st, 2013 - about 13 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 1861527178 NPPES
Wyoming Other 301361 BLUE CROSS KID CARE
Wyoming Other 4591070 BLUE CROSS KID CARE
Wyoming MEDICAID 104085500 BLUE CROSS KID CARE

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