Brodsky, Jeffrey Alan

Brodsky, Jeffrey Alan is an individual health care provider with primary practice located at 2131 Lake Ave Suite #1, Ashtabula OH 44004-3466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brodsky, Jeffrey Alan can be contacted via phone (440) 997-6646.

Contact Information

Primary practice address
2131 Lake Ave Suite #1 Ashtabula OH 44004-3466
Phone: (440) 997-6646
Fax: (440) 992-4238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4336 Ohio

Profile Details

NPI number 1003990029
LBN Legal business name Brodsky, Jeffrey Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 24th, 2008 - 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 1003990029 NPPES
Other 110020548 RAILROAD MEDICARE
MEDICAID 0678646 RAILROAD MEDICARE
Other 000000136131 RAILROAD MEDICARE

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