Park, Brian Keith
Park, Brian Keith is an sole proprietor health care provider with primary practice located at 477 White Pond Dr Apt 421, Akron OH 44320-1121. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Park, Brian Keith can be contacted via phone (330) 414-6250.Contact Information
Primary practice address
477 White Pond Dr Apt 421
Akron OH 44320-1121
Phone: (330) 414-6250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1811014467 |
|---|---|
| LBN Legal business name | Park, Brian Keith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1811014467 | NPPES |
| Ohio | MEDICAID | 2457550 |
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