Bruderly, Thomas E
Bruderly, Thomas E is an sole proprietor health care provider with primary practice located at 395 E Market St , Akron OH 44304-1542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Bruderly, Thomas E can be contacted via phone (330) 762-8959.Contact Information
Primary practice address
395 E Market St
Akron OH 44304-1542
Phone: (330) 762-8959
Fax: (330) 762-1224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 34-00-6379 | Ohio |
Profile Details
| NPI number | 1164493896 |
|---|---|
| LBN Legal business name | Bruderly, Thomas E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Dec 31st, 2020 - about 6 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 | 1164493896 | NPPES |
| Ohio | MEDICAID | 0258500 |
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