Klich, Bryan J.
Klich, Bryan J. is an individual health care provider with primary practice located at 6847 N Chestnut St , Ravenna OH 44266-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Klich, Bryan J. can be contacted via phone (330) 297-2850.Contact Information
Primary practice address
6847 N Chestnut St
Ravenna OH 44266-3929
Phone: (330) 297-2850
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 35-087357 | Ohio |
Profile Details
NPI number | 1477564243 |
---|---|
LBN Legal business name | Klich, Bryan J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2006 |
Last updated | May 31st, 2013 - about 11 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 | 1477564243 | NPPES |
Ohio | Other | 000000389975 | ANTHEM PROVIDER NUMBER |
Ohio | MEDICAID | 2642153 | ANTHEM PROVIDER NUMBER |
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