Piazza, Brian L

Piazza, Brian L is an individual health care provider with primary practice located at 1919 Lake Ave Ste 104 , Plymouth IN 46563-7830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Piazza, Brian L can be contacted via phone (574) 948-5170.

Contact Information

Primary practice address
1919 Lake Ave Ste 104 Plymouth IN 46563-7830
Phone: (574) 948-5170
Fax: (574) 948-5498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X BP056021 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 01066413A Indiana

Profile Details

NPI number 1881703809
LBN Legal business name Piazza, Brian L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 16th, 2023 - about 2 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 1881703809 NPPES
Indiana MEDICAID 200980180
Indiana MEDICAID 3510115

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