Bradley, Elisa A
Bradley, Elisa A is an individual health care provider with primary practice located at 452 W 10Th Ave , Columbus OH 43210-1240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bradley, Elisa A can be contacted via phone (614) 293-7677.Contact Information
Primary practice address
452 W 10Th Ave
Columbus OH 43210-1240
Phone: (614) 293-7677
Fax: (614) 293-5614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-121132 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35.121132 | Ohio |
Profile Details
| NPI number | 1154525327 |
|---|---|
| LBN Legal business name | Bradley, Elisa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154525327 | NPPES |
| Ohio | MEDICAID | 0105922 |
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