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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174573869 | NPPES |
| Pennsylvania | Other | MD048252L | MEDICAL LICENSE |
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