Doctor Name: | MRS. SHARON P BRAND |
NPI Number: | 1205845997 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 172A0000X |
Business Practice Address: | 29057 Chardon Rd Wickliffe, OH - 440921402 |
Business Phone Number: | 2163100815 |
Business Fax Number: | 2163817289 |
Mailing Address: | 29057 Chardon Rd, WICKLIFFE |
State: | OH |
Postal Code: | 440921402 |
Phone Number: | 2163100815 |
Fax Number: | 2163817289 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | 172A0000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |