Brazon, David J
Brazon, David J is an sole proprietor health care provider with primary practice located at 401 Broad Ave , Belle Vernon PA 15012-1403. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brazon, David J can be contacted via phone (724) 929-6890.Contact Information
Primary practice address
401 Broad Ave
Belle Vernon PA 15012-1403
Phone: (724) 929-6890
Fax: (724) 930-7414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS-022277-L | Pennsylvania |
Profile Details
| NPI number | 1902974892 |
|---|---|
| LBN Legal business name | Brazon, David J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Nov 6th, 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 | 1902974892 | NPPES |
| Pennsylvania | MEDICAID | 74996 | |
| Pennsylvania | MEDICAID | 0008737260001 |
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