Thatcher, Brian Michael

Thatcher, Brian Michael is an individual health care provider with primary practice located at 9083 Mentor Ave , Mentor OH 44060-6462. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Thatcher, Brian Michael can be contacted via phone (440) 255-0678.

Contact Information

Primary practice address
9083 Mentor Ave Mentor OH 44060-6462
Phone: (440) 255-0678
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 011427 Ohio

Profile Details

NPI number 1538405006
LBN Legal business name Thatcher, Brian Michael
Credentials LCDC-III
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2013
Last updated Jan 2nd, 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 1538405006 NPPES
Ohio MEDICAID 2847334
Ohio MEDICAID 2864664

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