Brunswick, Amy J
Brunswick, Amy J is an individual health care provider with primary practice located at 283 Stadium Dr , Defiance OH 43512-4604. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brunswick, Amy J can be contacted via phone (419) 782-3937.Contact Information
Primary practice address
283 Stadium Dr
Defiance OH 43512-4604
Phone: (419) 782-3937
Fax: (419) 782-3930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4788/T1594 | Ohio |
Profile Details
| NPI number | 1356389506 |
|---|---|
| LBN Legal business name | Brunswick, Amy J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Apr 27th, 2021 - about 5 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 | 1356389506 | NPPES |
| Ohio | MEDICAID | 2988334 |
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