Brandenburg, John Robert

Brandenburg, John Robert is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brandenburg, John Robert can be contacted via phone (855) 446-5937.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (855) 446-5937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 03419 Kentucky

Profile Details

NPI number 1912131079
LBN Legal business name Brandenburg, John Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2009
Last updated Nov 25th, 2020 - about 5 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 1912131079 NPPES
Kentucky MEDICAID 7100175030
Kentucky MEDICAID 0094527

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