Defade, Brian Philip
Defade, Brian Philip is an sole proprietor health care provider with primary practice located at 1101 Saint Christopher Dr , Ashland KY 41101-7087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Defade, Brian Philip can be contacted via phone (606) 833-3333.Contact Information
Primary practice address
1101 Saint Christopher Dr
Ashland KY 41101-7087
Phone: (606) 833-3333
Fax: (606) 833-4668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 03268 | Kentucky |
Profile Details
| NPI number | 1679764534 |
|---|---|
| LBN Legal business name | Defade, Brian Philip |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Aug 26th, 2010 - about 14 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 | 1679764534 | NPPES |
| Ohio | MEDICAID | 3062680 | |
| Ohio | Other | 000000665202 | |
| Ohio | MEDICAID | 7100120830 |
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