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Contact Information

BRENT B SAETRUM, MD
5000 HOPYARD ROAD
LACEY, WA94588
 Phone: 925-251-6917
 Fax: 925-924-0506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRENT B SAETRUM · (Male)

NPI # 1821078080
Status Active
Credentials MD
Entity Individual
Enumeration date 01/21/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K4994
  • TX Medicaid 1164394-04
  • TX Other 8F9287 BC/BS PROVIDER NUMBER
  • TX Other 930116427 RAILROAD MEDICARE PROV #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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