Marzec, Bradley J
Marzec, Bradley J is an individual health care provider with primary practice located at 770 W High St Suite 160B, Lima OH 45801-3990. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Marzec, Bradley J can be contacted via phone (419) 996-5224.Contact Information
Primary practice address
770 W High St Suite 160B
Lima OH 45801-3990
Phone: (419) 996-5224
Fax: (419) 996-5276
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.13388 | Ohio |
Profile Details
NPI number | 1477814523 |
---|---|
LBN Legal business name | Marzec, Bradley J |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2012 |
Last updated | Apr 15th, 2016 - 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 | 1477814523 | NPPES |
Ohio | MEDICAID | 0066053 |
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