Brotherson, Stephen E

Brotherson, Stephen E is an individual health care provider with primary practice located at 4116 Strong Ave , Kansas City KS 66106-1946. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Brotherson, Stephen E can be contacted via phone (913) 831-1212.

Contact Information

Primary practice address
4116 Strong Ave Kansas City KS 66106-1946
Phone: (913) 831-1212
Fax: (913) 677-5644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5207 Kansas

Profile Details

NPI number 1811239429
LBN Legal business name Brotherson, Stephen E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2013
Last updated Mar 21st, 2013 - about 12 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 1811239429 NPPES
Kansas MEDICAID 200260260B

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