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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1114928900 | NPPES |
| Ohio | Other | H026830 | MEDICARE PTAN |
| Ohio | MEDICAID | 0711073 | MEDICARE PTAN |
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