Smith, Brian

Smith, Brian is an sole proprietor health care provider with primary practice located at 4930 Enterprise Dr Nw , Warren OH 44481-8706. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is his primary health care specialty. Smith, Brian can be contacted via phone (330) 787-0955.

Contact Information

Primary practice address
4930 Enterprise Dr Nw Warren OH 44481-8706
Phone: (330) 787-0955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.140897 Ohio
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 140897 Ohio

Profile Details

NPI number 1942602404
LBN Legal business name Smith, Brian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2014
Last updated Feb 28th, 2018 - about 6 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 1942602404 NPPES
Ohio MEDICAID 2374229

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