Blackburn, Bradley A

Blackburn, Bradley A is an individual health care provider with primary practice located at 18181 Pearl Rd Ste A102 , Strongsville OH 44136-6951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blackburn, Bradley A can be contacted via phone (440) 816-4250.

Contact Information

Primary practice address
18181 Pearl Rd Ste A102 Strongsville OH 44136-6951
Phone: (440) 816-4250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35053437 Ohio

Profile Details

NPI number 1033102124
LBN Legal business name Blackburn, Bradley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jan 19th, 2021 - about 3 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 1033102124 NPPES
Ohio Other 0304914 BCMH
Ohio Other 4007005 BCMH
Ohio Other 414948 BCMH
Ohio Other 740475 BCMH
Ohio Other 000000221054 BCMH
Ohio Other 000000511513 BCMH
Ohio Other 000000302578 BCMH
Ohio MEDICAID 0629172 BCMH
Ohio Other P00412281 BCMH

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