Brine, Anthony F.

Brine, Anthony F. is an individual health care provider with primary practice located at 8423 Market St Ste 101 , Boardman OH 44512-6778. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brine, Anthony F. can be contacted via phone (330) 729-8700.

Contact Information

Primary practice address
8423 Market St Ste 101 Boardman OH 44512-6778
Phone: (330) 729-8700
Fax: (330) 729-8701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7504 Ohio

Profile Details

NPI number 1477806503
LBN Legal business name Brine, Anthony F.
Credentials PSY-D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2012
Last updated Jan 17th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477806503 NPPES
Ohio MEDICAID 0194818

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