Defade, Brian Philip

Defade, Brian Philip is an sole proprietor health care provider with primary practice located at 1101 Saint Christopher Dr , Ashland KY 41101-7087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Defade, Brian Philip can be contacted via phone (606) 833-3333.

Contact Information

Primary practice address
1101 Saint Christopher Dr Ashland KY 41101-7087
Phone: (606) 833-3333
Fax: (606) 833-4668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 03268 Kentucky

Profile Details

NPI number 1679764534
LBN Legal business name Defade, Brian Philip
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Aug 26th, 2010 - about 16 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 1679764534 NPPES
Ohio MEDICAID 3062680
Ohio Other 000000665202
Ohio MEDICAID 7100120830

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