Carroll, Bryan
Carroll, Bryan is an individual health care provider with primary practice located at 950 Clague Rd Bldg B , Westlake OH 44145-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Carroll, Bryan can be contacted via phone (216) 844-8200.Contact Information
Primary practice address
950 Clague Rd Bldg B
Westlake OH 44145-1533
Phone: (216) 844-8200
Fax: (440) 250-2022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101252291 | Virginia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35.137019 | Ohio |
Profile Details
| NPI number | 1609087121 |
|---|---|
| LBN Legal business name | Carroll, Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Dec 30th, 2020 - about 4 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 | 1609087121 | NPPES |
| Virginia | Other | 10097097 | OPTIMA HEALTH |
| Virginia | Other | 1609087121 | OPTIMA HEALTH |
| Virginia | MEDICAID | 5921028 | OPTIMA HEALTH |
| Virginia | Other | 1609087121 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | -005 | OPTIMA HEALTH |
| Virginia | Other | 473606 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | 1609087121 | OPTIMA HEALTH |
| Virginia | MEDICAID | 1609087121 | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
| Virginia | Other | PAR | OPTIMA HEALTH |
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