Bryan, Dwight E
Bryan, Dwight E is an sole proprietor health care provider with primary practice located at 5757 Monclova Rd Ste 1, Maumee OH 43537-1863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bryan, Dwight E can be contacted via phone (419) 897-8417.Contact Information
Primary practice address
5757 Monclova Rd Ste 1
Maumee OH 43537-1863
Phone: (419) 897-8417
Fax: (419) 897-8418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 340037326 | Ohio |
Profile Details
| NPI number | 1538155213 |
|---|---|
| LBN Legal business name | Bryan, Dwight E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | May 18th, 2017 - about 8 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 | 1538155213 | NPPES |
| Ohio | Other | 080188792 | RAILROAD MEDICARE |
| Ohio | Other | 470855160 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 0704054 | RAILROAD MEDICARE |
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