Bradley, Joseph Pohl

Bradley, Joseph Pohl is an individual health care provider with primary practice located at 1044 N Mason Rd Ste L20, Creve Coeur MO 63141-6431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bradley, Joseph Pohl can be contacted via phone (314) 362-7509.

Contact Information

Primary practice address
1044 N Mason Rd Ste L20 Creve Coeur MO 63141-6431
Fax: (314) 362-7522
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2010006689 Missouri

Profile Details

NPI number 1639330244
LBN Legal business name Bradley, Joseph Pohl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Nov 15th, 2021 - about 4 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 1639330244 NPPES
Missouri MEDICAID 200015081

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