Brooke, John Marshall
Brooke, John Marshall is an sole proprietor health care provider with primary practice located at 250 S Chestnut St , Ravenna OH 44266-3031. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brooke, John Marshall can be contacted via phone (330) 297-7009.Contact Information
Primary practice address
250 S Chestnut St
Ravenna OH 44266-3031
Phone: (330) 297-7009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | OH15402 | Ohio |
Profile Details
| NPI number | 1497813935 |
|---|---|
| LBN Legal business name | Brooke, John Marshall |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 29th, 2010 - about 15 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 | 1497813935 | NPPES |
| Ohio | MEDICAID | 0468597 |
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