Brosnan, John

Brosnan, John is an sole proprietor health care provider with primary practice located at 240 Riverside Dr , Johnson City NY 13790-2732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brosnan, John can be contacted via phone (607) 798-9356.

Contact Information

Primary practice address
240 Riverside Dr Johnson City NY 13790-2732
Fax: (607) 797-1707
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 170214 New York

Profile Details

NPI number 1821012261
LBN Legal business name Brosnan, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Nov 16th, 2012 - about 12 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 1821012261 NPPES
New York MEDICAID 01552170

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