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Individual

BRIAN LEE VEREB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
3562 RIDGE PARK DR, STE. A, FAIRLAWN, OH 44333-9294
(330) 664-0767
(330) 665-4190
Mailing address
3562 RIDGE PARK DR, STE. A, FAIRLAWN, OH 44333-9294
(330) 664-0767
(330) 665-4190

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.13794-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077984
OH
01
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
09/09/2012
Last updated
01/14/2016
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