Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON O'BRIEN
Active Sole Proprietor136A00000X · LEBANON, OH
Registration Details
- NPI Number
- 1376142802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2020 (5.4886554197181 yrs)
- Last Updated
- Oct 26, 2020
- License
-
86089674 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1425 COLUMBUS AVELEBANON, OH, 450368258Browse OH providers · Browse ZIP 45036
- Phone
- 5132287340
- Primary Specialty
-
136A00000X
136A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.