Brondon, Michael
Brondon, Michael is an sole proprietor health care provider with primary practice located at 77 W Elmwood Dr Ste 311 , Dayton OH 45459-4278. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brondon, Michael can be contacted via phone (937) 433-0444.Contact Information
Primary practice address
77 W Elmwood Dr Ste 311
Dayton OH 45459-4278
Phone: (937) 433-0444
Fax: (937) 433-0405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36003616 | Ohio |
Profile Details
| NPI number | 1215249529 |
|---|---|
| LBN Legal business name | Brondon, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2010 |
| Last updated | Feb 19th, 2020 - about 4 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 | 1215249529 | NPPES |
| Ohio | MEDICAID | 0070517 |
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