Kilbane, Brendan J
Kilbane, Brendan J is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Kilbane, Brendan J can be contacted via phone (216) 844-7700.Contact Information
Primary practice address
11100 Euclid Avenue
Cleveland OH 44106
Phone: (216) 844-7700
Fax: (216) 286-6341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 036-111185 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 35082333 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 35-082333 | Ohio |
Profile Details
| NPI number | 1407907058 |
|---|---|
| LBN Legal business name | Kilbane, Brendan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Oct 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407907058 | NPPES |
| Michigan | MEDICAID | 1407907058 | |
| Michigan | MEDICAID | 1021128310001 | |
| Michigan | MEDICAID | 200873430A | |
| Michigan | MEDICAID | 2759395 | |
| Michigan | MEDICAID | Q82333 |
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