Imbody, Brent Wilson

Imbody, Brent Wilson is an individual health care provider with primary practice located at 330 N Main St , Centerville OH 45459-4465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Imbody, Brent Wilson can be contacted via phone (937) 435-1445.

Contact Information

Primary practice address
330 N Main St Centerville OH 45459-4465
Phone: (937) 435-1445
Fax: (937) 439-7552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.063723 Ohio

Profile Details

NPI number 1336136670
LBN Legal business name Imbody, Brent Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated May 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336136670 NPPES
Ohio MEDICAID 0909057

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