Ondulick, Brian W
Ondulick, Brian W is an individual health care provider with primary practice located at 3535 Pentagon Blvd Suite 320, Beavercreek OH 45431-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ondulick, Brian W can be contacted via phone (937) 490-2270.Contact Information
Primary practice address
3535 Pentagon Blvd Suite 320
Beavercreek OH 45431-1705
Phone: (937) 490-2270
Fax: (937) 490-2272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34-00-7860-O | Ohio |
Profile Details
| NPI number | 1336129485 |
|---|---|
| LBN Legal business name | Ondulick, Brian W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jan 7th, 2021 - about 4 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 | 1336129485 | NPPES |
| Ohio | MEDICAID | 2495787 |
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