Provider Demographics
NPI:1225641632
Name:USS, BRIAN JOSEPH (NATUROPATHIC DOCOTOR)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:JOSEPH
Last Name:USS
Suffix:
Gender:M
Credentials:NATUROPATHIC DOCOTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 RUNNING BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-4530
Mailing Address - Country:US
Mailing Address - Phone:631-252-6350
Mailing Address - Fax:
Practice Address - Street 1:175 RENNELL DR
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:CT
Practice Address - Zip Code:06890-1491
Practice Address - Country:US
Practice Address - Phone:631-252-6350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008110225100000X
CT000393175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist