Bach, Brent Cushing
Bach, Brent Cushing is an individual health care provider with primary practice located at 7265 Portage St Nw Suite A, Massillon OH 44646-7826. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bach, Brent Cushing can be contacted via phone (330) 498-9730.Contact Information
Primary practice address
7265 Portage St Nw Suite A
Massillon OH 44646-7826
Phone: (330) 498-9730
Fax: (330) 498-9753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21169 | Ohio |
Profile Details
| NPI number | 1568461200 |
|---|---|
| LBN Legal business name | Bach, Brent Cushing |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568461200 | NPPES |
| Ohio | MEDICAID | 030446553028 | |
| Ohio | MEDICAID | 2248606 |
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