Bradrick, Jon P

Bradrick, Jon P is an individual health care provider with primary practice located at 2500 Metrohealth Dr Mhmc-Surgery/Oral & Max, Cleveland OH 44109-1900. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bradrick, Jon P can be contacted via phone (216) 778-4488.

Contact Information

Primary practice address
2500 Metrohealth Dr Mhmc-Surgery/Oral & Max Cleveland OH 44109-1900
Phone: (216) 778-4488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30018571 Ohio
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X TX 19114 Texas

Profile Details

NPI number 1477581908
LBN Legal business name Bradrick, Jon P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1477581908 NPPES
Ohio MEDICAID 0696528

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