Brill, Wade

Brill, Wade is an sole proprietor health care provider with primary practice located at 1001 Olivesburg Rd , Mansfield OH 44905-1228. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Brill, Wade can be contacted via phone (419) 526-2100.

Contact Information

Primary practice address
1001 Olivesburg Rd Mansfield OH 44905-1228
Phone: (419) 526-2100
Fax: (419) 521-2822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 4969 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4969 Ohio

Profile Details

NPI number 1033523915
LBN Legal business name Brill, Wade
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2014
Last updated Jun 19th, 2014 - about 11 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.

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