Barker, Bradley D

Barker, Bradley D is an individual health care provider with primary practice located at 1120 E Broad St , Elyria OH 44035-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Barker, Bradley D can be contacted via phone (440) 365-8487.

Contact Information

Primary practice address
1120 E Broad St Elyria OH 44035-6306
Phone: (440) 365-8487
Fax: (440) 365-5486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35058929 Ohio

Profile Details

NPI number 1619191731
LBN Legal business name Barker, Bradley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Dec 8th, 2020 - about 4 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 1619191731 NPPES
Ohio MEDICAID 3025372
Ohio MEDICAID 0779939

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