Eric L Brady

Individual provider Active NPI Home Health Aide · South Charleston, OH

NPI 1497963573 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497963573
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
2087763 (OH)
Practice address
13645 London Plattsburg Rd
South Charleston, OH 45368-9316
Phone
(937) 568-4180
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2087763OHMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2087763 OH Yes

Addresses

Primary practice location

13645 London Plattsburg Rd
South Charleston, OH 45368-9316

Mailing address

13645 London Plattsburg Rd
South Charleston, OH 45368-9316
Phone (937) 568-4180

Other providers in South Charleston, OH

All providers in South Charleston, OH · Home Health Aide in Ohio

Sources for this page

Verify at the official NPI Registry.