Brillman, Jon

Brillman, Jon is an individual health care provider with primary practice located at 13782 Plantation Rd Ste 201 , Fort Myers FL 33912-4462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Brillman, Jon can be contacted via phone (239) 343-1290.

Contact Information

Primary practice address
13782 Plantation Rd Ste 201 Fort Myers FL 33912-4462
Phone: (239) 343-1290
Fax: (239) 343-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD-010476-E Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME102388 Florida

Profile Details

NPI number 1598765372
LBN Legal business name Brillman, Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Mar 24th, 2021 - about 4 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 1598765372 NPPES
Pennsylvania MEDICAID 0006234560003
Pennsylvania MEDICAID 0270880
Pennsylvania MEDICAID 0006234560004
Pennsylvania MEDICAID 0206609000
Pennsylvania MEDICAID 001644200

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