Adams, Bradley J

Adams, Bradley J is an sole proprietor health care provider with primary practice located at 734 S Shoop Ave , Wauseon OH 43567-1707. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Adams, Bradley J can be contacted via phone (419) 337-8897.

Contact Information

Primary practice address
734 S Shoop Ave Wauseon OH 43567-1707
Phone: (419) 337-8897
Fax: (419) 337-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36 002115 Ohio

Profile Details

NPI number 1982640017
LBN Legal business name Adams, Bradley J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Oct 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982640017 NPPES
Ohio MEDICAID 0510807
Ohio Other 480001611
Ohio Other 02037
Ohio Other 605732

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