Brocker, Brian P

Brocker, Brian P is an individual health care provider with primary practice located at 1616 Covington St , Youngstown OH 44510-1244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Brocker, Brian P can be contacted via phone (330) 747-9215.

Contact Information

Primary practice address
1616 Covington St Youngstown OH 44510-1244
Phone: (330) 747-9215
Fax: (330) 747-9248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 35-066899 Ohio

Profile Details

NPI number 1578548830
LBN Legal business name Brocker, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Sep 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578548830 NPPES
Ohio Other 000000138342 ANTHEM
Ohio Other 0600127 ANTHEM
Ohio MEDICAID 0976770 ANTHEM
Ohio Other 4597438 ANTHEM
Ohio Other 7405468 ANTHEM
Ohio Other 000000106032 ANTHEM

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