Brause, Bryan
Brause, Bryan is an sole proprietor health care provider with primary practice located at 4807 Church Ave , Brooklyn NY 11203-3334. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Brause, Bryan can be contacted via phone (718) 282-8363.Contact Information
Primary practice address
4807 Church Ave
Brooklyn NY 11203-3334
Phone: (718) 282-8363
Fax: (718) 282-7630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 0081051 | New York |
Profile Details
| NPI number | 1952363129 |
|---|---|
| LBN Legal business name | Brause, Bryan |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Dec 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952363129 | NPPES |
| New York | MEDICAID | 02265841 |
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