Clark, Bradley A
Clark, Bradley A is an individual health care provider with primary practice located at 10590 N Meridian St , Indianapolis IN 46290. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Clark, Bradley A can be contacted via phone (317) 338-6666.Contact Information
Primary practice address
10590 N Meridian St
Indianapolis IN 46290
Phone: (317) 338-6666
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02005391A | Indiana |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 02005391A | Indiana |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 02005391A | Indiana |
Profile Details
NPI number | 1447510722 |
---|---|
LBN Legal business name | Clark, Bradley A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2012 |
Last updated | Jun 14th, 2022 - about 2 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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