Bralich, Jeffrey A
Bralich, Jeffrey A is an individual health care provider with primary practice located at 116 Federal Plz W , Youngstown OH 44503-1302. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bralich, Jeffrey A can be contacted via phone (330) 743-5714.Contact Information
Primary practice address
116 Federal Plz W
Youngstown OH 44503-1302
Phone: (330) 743-5714
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optician | 156FX1800X | SC6087 | Ohio |
Profile Details
NPI number | 1669534095 |
---|---|
LBN Legal business name | Bralich, Jeffrey A |
Credentials | LDO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669534095 | NPPES |
Ohio | MEDICAID | 0906336 |
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