Bravo, Miquel A
Bravo, Miquel A is an sole proprietor health care provider with primary practice located at 420 S James St , Dover OH 44622-3206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Bravo, Miquel A can be contacted via phone (330) 602-7707.Contact Information
Primary practice address
420 S James St
Dover OH 44622-3206
Phone: (330) 602-7707
Fax: (330) 602-6071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 52476 | Ohio |
Profile Details
| NPI number | 1386644383 |
|---|---|
| LBN Legal business name | Bravo, Miquel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Oct 23rd, 2009 - about 15 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 | 1386644383 | NPPES |
| Ohio | MEDICAID | 0664222 |
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