Provider Demographics
NPI:1427479831
Name:HARMYCH FACIAL PLASTIC SURGERY LLC
Entity type:Organization
Organization Name:HARMYCH FACIAL PLASTIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMYCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-520-0114
Mailing Address - Street 1:29225 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 285
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4645
Mailing Address - Country:US
Mailing Address - Phone:216-831-3223
Mailing Address - Fax:216-831-3224
Practice Address - Street 1:29225 CHAGRIN BLVD
Practice Address - Street 2:SUITE 285
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4645
Practice Address - Country:US
Practice Address - Phone:216-831-3223
Practice Address - Fax:216-831-3224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.098399207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty