Bruderly, Thomas E

Bruderly, Thomas E is an sole proprietor health care provider with primary practice located at 395 E Market St , Akron OH 44304-1542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Bruderly, Thomas E can be contacted via phone (330) 762-8959.

Contact Information

Primary practice address
395 E Market St Akron OH 44304-1542
Phone: (330) 762-8959
Fax: (330) 762-1224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 34-00-6379 Ohio

Profile Details

NPI number 1164493896
LBN Legal business name Bruderly, Thomas E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Dec 31st, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164493896 NPPES
Ohio MEDICAID 0258500

Popular Providers