Brazley, Larry R
Brazley, Larry R is an sole proprietor health care provider with primary practice located at 255 E 90Th Dr W1, Merrillville IN 46410-8144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Brazley, Larry R can be contacted via phone (219) 791-0248.Contact Information
Primary practice address
255 E 90Th Dr W1
Merrillville IN 46410-8144
Phone: (219) 791-0248
Fax: (219) 791-0251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 01032396 | Indiana |
Profile Details
| NPI number | 1093723793 |
|---|---|
| LBN Legal business name | Brazley, Larry R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jun 7th, 2011 - about 14 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 | 1093723793 | NPPES |
| Indiana | MEDICAID | 100169080 |
Popular Providers
-
Griffin, John W.
10101 Se Main St Ste 2001, Portland OR 97216-2457 -
Baldwin, John Louis
1310 116Th Ave Ne Ste C, Bellevue WA 98004-3817 -
Pasniciuc, Maria I
5794 Widewaters Pkwy , Syracuse NY 13214 -
Dixit, Rajiv Kumar
120 La Casa Via Ste 204, Walnut Creek CA 94598-3007 -
Melton, John Wesley
36 Lively Oaks Rd. , Lively VA 22507 -
Morell, Martin
4401 Middle Settlement Rd Suite 106, New Hartford NY 13413-5319 -
Brelsford, William George
1212 Clinic Dr , Tyler TX 75701-2117 -
Hensarling, James Kenneth
4436 Mangum Dr. Ste A, Flowood MS 39232