Brown, Bert M.

Brown, Bert M. is an individual health care provider with primary practice located at 6770 Mayfield Road Suite 210, Mayfield Hts OH 44124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Brown, Bert M. can be contacted via phone (440) 461-0150.

Contact Information

Primary practice address
6770 Mayfield Road Suite 210 Mayfield Hts OH 44124
Phone: (440) 461-0150
Fax: (440) 461-8221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35-05-6634 Ohio

Profile Details

NPI number 1114928900
LBN Legal business name Brown, Bert M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 15th, 2015 - about 9 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 1114928900 NPPES
Ohio Other H026830 MEDICARE PTAN
Ohio MEDICAID 0711073 MEDICARE PTAN

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