Brady, Mark J

Brady, Mark J is an individual health care provider with primary practice located at 108 S Main St , Munroe Falls OH 44262-1638. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Brady, Mark J can be contacted via phone (330) 686-1300.

Contact Information

Primary practice address
108 S Main St Munroe Falls OH 44262-1638
Fax: (330) 686-9809
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2526 Ohio

Profile Details

NPI number 1124028170
LBN Legal business name Brady, Mark J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 29th, 2011 - 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 1124028170 NPPES
Ohio MEDICAID 2349882

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