Brehm, Brian Douglas
Brehm, Brian Douglas is an individual health care provider with primary practice located at 3747 W Fork Rd , Cincinnati OH 45247-7548. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brehm, Brian Douglas can be contacted via phone (513) 961-4335.Contact Information
Primary practice address
3747 W Fork Rd
Cincinnati OH 45247-7548
Phone: (513) 961-4335
Fax: (513) 961-4227
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2613 | Ohio |
Profile Details
NPI number | 1811190028 |
---|---|
LBN Legal business name | Brehm, Brian Douglas |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2007 |
Last updated | Feb 24th, 2012 - about 12 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 | 1811190028 | NPPES |
Kentucky | MEDICAID | 7100056850 | |
Kentucky | Other | P00407367 |
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