Brotherson, Gary T
Brotherson, Gary T is an individual health care provider with primary practice located at 1801 West 8Th Street , Erie PA 16505-4938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brotherson, Gary T can be contacted via phone (814) 455-8004.Contact Information
Primary practice address
1801 West 8Th Street
Erie PA 16505-4938
Phone: (814) 455-8004
Fax: (814) 456-6054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD030604 | Pennsylvania |
Profile Details
| NPI number | 1932173754 |
|---|---|
| LBN Legal business name | Brotherson, Gary T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Sep 21st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932173754 | NPPES |
| Pennsylvania | MEDICAID | 000973098001 |
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