Landrum, Brian Thomas
Landrum, Brian Thomas is an individual health care provider with primary practice located at 315 N Breiel Blvd , Middletown OH 45042-3868. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Landrum, Brian Thomas can be contacted via phone (513) 424-0339.Contact Information
Primary practice address
315 N Breiel Blvd
Middletown OH 45042-3868
Phone: (513) 424-0339
Fax: (513) 424-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5876 | Ohio |
Profile Details
| NPI number | 1801024047 |
|---|---|
| LBN Legal business name | Landrum, Brian Thomas |
| Credentials | O.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Feb 14th, 2012 - about 14 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 | 1801024047 | NPPES |
| Ohio | MEDICAID | 3050880 |
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