Brignola, Guy Richard

Brignola, Guy Richard is an individual health care provider with primary practice located at 1930 S Broad St Unit 9 , Philadelphia PA 19145-2328. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brignola, Guy Richard can be contacted via phone (800) 448-6767.

Contact Information

Primary practice address
1930 S Broad St Unit 9 Philadelphia PA 19145-2328
Phone: (800) 448-6767
Fax: (215) 339-8103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000554 Pennsylvania

Profile Details

NPI number 1669474557
LBN Legal business name Brignola, Guy Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Feb 10th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669474557 NPPES
Pennsylvania MEDICAID 0018341500005

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