Michelow, Bryan J
Michelow, Bryan J is an sole proprietor health care provider with primary practice located at 3733 Park East Dr 107, Beachwood OH 44122-4338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Michelow, Bryan J can be contacted via phone (216) 595-6800.Contact Information
Primary practice address
3733 Park East Dr 107
Beachwood OH 44122-4338
Phone: (216) 595-6800
Fax: (216) 593-0414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 35062842M | Ohio |
Profile Details
| NPI number | 1548289549 |
|---|---|
| LBN Legal business name | Michelow, Bryan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 29th, 2015 - about 10 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 | 1548289549 | NPPES |
| Ohio | MEDICAID | 2019103 |
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