Marshall F. Brustein M.D.
LBN: Marshall F. Brustein M.D.
Marshall F. Brustein M.D. is an health care organization with primary practice located at 304 W Hay St Suite 112, Decatur IL 62526-6328. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Marshall F. Brustein M.D. can be contacted via phone (217) 872-8204, or through Brustein, Marshall F. via phone (217) 872-8204.
Contact Information
Primary practice address
304 W Hay St Suite 112
Decatur IL 62526-6328
Phone: (217) 872-8204
Fax:
Website:
Authorized official contact:
Name: Brustein, Marshall F. Doctor of Medicine (MD)
Phone: (217) 872-8204
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036104593 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056006099 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056005019 | Illinois |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 036104593 | Illinois |
Profile Details
| NPI number | 1801046958 |
|---|---|
| LBN Legal business name | Marshall F. Brustein M.D. |
| DBA Doing business as | |
| Authorized official | Brustein, Marshall F. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2008 |
| Last updated | Sep 25th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801046958 | NPPES |
| Illinois | MEDICAID | 036104593 |
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