Bradley, Robert S

Bradley, Robert S is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Bradley, Robert S can be contacted via phone (855) 446-5937.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (855) 446-5937
Fax: (740) 446-5883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 34007099 Ohio

Profile Details

NPI number 1194740266
LBN Legal business name Bradley, Robert S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 25th, 2020 - about 5 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 1194740266 NPPES
Ohio MEDICAID 2117944

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