Brodell, James David
Brodell, James David is an sole proprietor health care provider with primary practice located at 2614 E Market St , Warren OH 44483-6204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brodell, James David can be contacted via phone (330) 394-8181.Contact Information
Primary practice address
2614 E Market St
Warren OH 44483-6204
Phone: (330) 394-8181
Fax: (330) 393-4849
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 35048150B | Ohio |
Profile Details
NPI number | 1861494817 |
---|---|
LBN Legal business name | Brodell, James David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2005 |
Last updated | Mar 30th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861494817 | NPPES |
Ohio | Other | 34144929700 | BUREAU OF WORKERS' COMP |
Ohio | MEDICAID | 0518345 | BUREAU OF WORKERS' COMP |
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