Brementown Physicians Llc

LBN: Brementown Physicians Llc
Brementown Physicians Llc is an health care organization with primary practice located at 200 Saint Clair Ave , Saint Marys OH 45885-2400. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Brementown Physicians Llc can be contacted via phone (419) 629-2662, or through Luedeke, James D via phone (419) 629-2662.

Contact Information

Primary practice address
200 Saint Clair Ave Saint Marys OH 45885-2400
Phone: (419) 629-2662
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luedeke, James D Doctor of Medicine (MD)
Phone: (419) 629-2662

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35048500L Ohio

Profile Details

NPI number 1730418344
LBN Legal business name Brementown Physicians Llc
DBA Doing business as
Authorized official Luedeke, James D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2009
Last updated Mar 9th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730418344 NPPES
Ohio MEDICAID 3012064

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