Brody, Robert

Brody, Robert is an sole proprietor health care provider with primary practice located at 3461 Warrensville Center Rd , Shaker Heights OH 44122-5260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Brody, Robert can be contacted via phone (216) 752-2480.

Contact Information

Primary practice address
3461 Warrensville Center Rd Shaker Heights OH 44122-5260
Phone: (216) 752-2480
Fax: (216) 752-2980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35038344 Ohio

Profile Details

NPI number 1063508554
LBN Legal business name Brody, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1063508554 NPPES
Ohio MEDICAID 0489841

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