Bedrick, Jeffrey D

Bedrick, Jeffrey D is an sole proprietor health care provider with primary practice located at 255 S 17Th St Suite 1905, Philadelphia PA 19103-6231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bedrick, Jeffrey D can be contacted via phone (215) 731-0210.

Contact Information

Primary practice address
255 S 17Th St Suite 1905 Philadelphia PA 19103-6231
Phone: (215) 731-0210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD048252L Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MD048252L Pennsylvania

Profile Details

NPI number 1174573869
LBN Legal business name Bedrick, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Aug 8th, 2007 - about 17 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 1174573869 NPPES
Pennsylvania Other MD048252L MEDICAL LICENSE

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