Braverman, Lisa J
Braverman, Lisa J is an sole proprietor health care provider with primary practice located at 1075 Beecher Xing N Ste A , Gahanna OH 43230-4572. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Braverman, Lisa J can be contacted via phone (614) 475-6712.Contact Information
Primary practice address
1075 Beecher Xing N Ste A
Gahanna OH 43230-4572
Phone: (614) 475-6712
Fax: (614) 475-6902
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35062326 | Ohio |
Profile Details
NPI number | 1720139744 |
---|---|
LBN Legal business name | Braverman, Lisa J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 16th, 2007 |
Last updated | Apr 20th, 2018 - about 6 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 | 1720139744 | NPPES |
Ohio | MEDICAID | 0892815 |
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