Bravo, Joseph Javier

Bravo, Joseph Javier is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bravo, Joseph Javier can be contacted via phone (859) 301-2000.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-2000
Fax: (859) 301-5690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 18650 Kentucky
Other Service Providers / Specialist 174400000X 18650 Kentucky

Profile Details

NPI number 1376535807
LBN Legal business name Bravo, Joseph Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jun 30th, 2010 - about 16 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 1376535807 NPPES
Ohio MEDICAID 0356798
Ohio MEDICAID 64186505

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