Londrico, Philip Bradley
Londrico, Philip Bradley is an individual health care provider with primary practice located at 246 Northland Dr Ste 200A , Medina OH 44256-3440. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Londrico, Philip Bradley can be contacted via phone (330) 725-9195.Contact Information
Primary practice address
246 Northland Dr Ste 200A
Medina OH 44256-3440
Phone: (330) 725-9195
Fax: (330) 725-9187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.163126 | Ohio |
Profile Details
| NPI number | 1053772301 |
|---|---|
| LBN Legal business name | Londrico, Philip Bradley |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2016 |
| Last updated | Oct 30th, 2018 - about 8 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 | 1053772301 | NPPES |
| Ohio | MEDICAID | 0098487 |
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