Bambic, Brooks A

Bambic, Brooks A is an sole proprietor health care provider with primary practice located at 4388 Wright Rd. , Laura OH 45337. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Bambic, Brooks A can be contacted via phone (937) 248-4721.

Contact Information

Primary practice address
4388 Wright Rd. Laura OH 45337
Phone: (937) 248-4721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN084533 Ohio
Nursing Service Providers / Registered Nurse 163W00000X 517867 Ohio

Profile Details

NPI number 1780682179
LBN Legal business name Bambic, Brooks A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Jan 12th, 2023 - about last year

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 1780682179 NPPES
Ohio MEDICAID 2090900

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