Brill, David M

Brill, David M is an individual health care provider with primary practice located at 19324 Detroit Rd , Rocky River OH 44116-1802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brill, David M can be contacted via phone (440) 356-3640.

Contact Information

Primary practice address
19324 Detroit Rd Rocky River OH 44116-1802
Phone: (440) 356-3640
Fax: (440) 356-3729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34004484 Ohio

Profile Details

NPI number 1811096746
LBN Legal business name Brill, David M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 26th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811096746 NPPES
Ohio Other 000000502409 ANTHEM BC/BS
Ohio Other 341542312147 ANTHEM BC/BS
Ohio Other P00705913 ANTHEM BC/BS
Ohio MEDICAID 0702001 ANTHEM BC/BS

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