Risavi, Brian Larry

Risavi, Brian Larry is an individual health care provider with primary practice located at 201 State St , Erie PA 16550-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Risavi, Brian Larry can be contacted via phone (814) 877-6139.

Contact Information

Primary practice address
201 State St Erie PA 16550-0002
Phone: (814) 877-6139
Fax: (814) 877-6093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS009354L Pennsylvania

Profile Details

NPI number 1275532392
LBN Legal business name Risavi, Brian Larry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 28th, 2013 - about 13 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 1275532392 NPPES
Pennsylvania MEDICAID 0018025310001
Pennsylvania Other 1514333
Pennsylvania Other 2219727
Pennsylvania Other 2545956
Pennsylvania Other 930092901
Pennsylvania Other 00025185301
Pennsylvania Other 108059
Pennsylvania Other 212665
Pennsylvania Other 02083085
Pennsylvania Other 1068836
Pennsylvania Other 436535

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