Provider Demographics
NPI:1861483919
Name:BRINE, LOUIS PATRICK JR (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:PATRICK
Last Name:BRINE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-746-8040
Mailing Address - Fax:330-746-8025
Practice Address - Street 1:6505 MARKET ST
Practice Address - Street 2:BUILDING C SUITE 2100
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-3457
Practice Address - Country:US
Practice Address - Phone:330-746-8040
Practice Address - Fax:330-746-8025
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2021-03-02
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Provider Licenses
StateLicense IDTaxonomies
OHOH35050052208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics