Braden, Donald Ray

Braden, Donald Ray is an individual health care provider with primary practice located at 420 Reeves Ave Ste B, Dover OH 44622-2162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Braden, Donald Ray can be contacted via phone (330) 364-4461.

Contact Information

Primary practice address
420 Reeves Ave Ste B Dover OH 44622-2162
Phone: (330) 364-4461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03634 Ohio

Profile Details

NPI number 1053484873
LBN Legal business name Braden, Donald Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053484873 NPPES
Ohio MEDICAID 0302970
Ohio Other 000000128389

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