Bieltz, John Bradley

Bieltz, John Bradley is an sole proprietor health care provider with primary practice located at 510 Mount Pleasant Rd , Thomson GA 30824-8139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bieltz, John Bradley can be contacted via phone (706) 597-9700.

Contact Information

Primary practice address
510 Mount Pleasant Rd Thomson GA 30824-8139
Fax: (706) 597-0790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 038689 Georgia

Profile Details

NPI number 1023003431
LBN Legal business name Bieltz, John Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Sep 9th, 2010 - about 14 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 1023003431 NPPES
Georgia Other 616528 BCBS
Georgia MEDICAID 00623147A BCBS
Georgia Other 200038452 BCBS

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