Provider Demographics
NPI:1275295271
Name:M&D BRIGHT INC.
Entity Type:Organization
Organization Name:M&D BRIGHT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-321-7790
Mailing Address - Street 1:PO BOX 134
Mailing Address - Street 2:
Mailing Address - City:RADNOR
Mailing Address - State:OH
Mailing Address - Zip Code:43066-0134
Mailing Address - Country:US
Mailing Address - Phone:563-321-7790
Mailing Address - Fax:
Practice Address - Street 1:500 LINCOLN PARK BLVD STE 206
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-3479
Practice Address - Country:US
Practice Address - Phone:563-321-7790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain