Brott, Edwin Thomas

Brott, Edwin Thomas is an individual health care provider with primary practice located at 2204 Lexington Avenue , Ashland KY 41101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brott, Edwin Thomas can be contacted via phone (513) 300-0149.

Contact Information

Primary practice address
2204 Lexington Avenue Ashland KY 41101
Phone: (513) 300-0149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 31144 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 62695 Ohio

Profile Details

NPI number 1063402287
LBN Legal business name Brott, Edwin Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jan 26th, 2011 - about 15 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 1063402287 NPPES
Other 000000388319 ANTHEM BLUE SHIELD
MEDICAID 64311442 ANTHEM BLUE SHIELD
MEDICAID 200366710 ANTHEM BLUE SHIELD
Other 5087130 ANTHEM BLUE SHIELD
Other 173664 ANTHEM BLUE SHIELD
Other 000000351385 ANTHEM BLUE SHIELD
MEDICAID 0950047 ANTHEM BLUE SHIELD

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