Provider Demographics
NPI:1871226811
Name:BRINSON, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:BRINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7583 WORTHINGTON GALENA RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4713
Mailing Address - Country:US
Mailing Address - Phone:614-972-4157
Mailing Address - Fax:
Practice Address - Street 1:7583 WORTHINGTON GALENA RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4713
Practice Address - Country:US
Practice Address - Phone:614-972-4157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist