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
Fax: (330) 393-4849
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861494817 NPPES
Ohio Other 34144929700 BUREAU OF WORKERS' COMP
Ohio MEDICAID 0518345 BUREAU OF WORKERS' COMP

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