Paul, David Brian

Paul, David Brian is an sole proprietor health care provider with primary practice located at 15620 Edgewood Dr Ste 200, Brainerd MN 56401-6983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Paul, David Brian can be contacted via phone (218) 330-6999.

Contact Information

Primary practice address
15620 Edgewood Dr Ste 200 Brainerd MN 56401-6983
Fax: (218) 825-8027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 27775 Minnesota

Profile Details

NPI number 1528056595
LBN Legal business name Paul, David Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Sep 4th, 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 1528056595 NPPES
Minnesota MEDICAID 905867200

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