Brody, Robert
Brody, Robert is an sole proprietor health care provider with primary practice located at 3461 Warrensville Center Rd , Shaker Heights OH 44122-5260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brody, Robert can be contacted via phone (216) 752-2480.Contact Information
Primary practice address
3461 Warrensville Center Rd
Shaker Heights OH 44122-5260
Phone: (216) 752-2480
Fax: (216) 752-2980
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35038344 | Ohio |
Profile Details
NPI number | 1063508554 |
---|---|
LBN Legal business name | Brody, Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1063508554 | NPPES |
Ohio | MEDICAID | 0489841 |
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