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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477564243 NPPES
Ohio Other 000000389975 ANTHEM PROVIDER NUMBER
Ohio MEDICAID 2642153 ANTHEM PROVIDER NUMBER

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