Connett, Bradley D.

Connett, Bradley D. is an individual health care provider with primary practice located at 1075 Nichols Rd , Osage Beach MO 65065-3093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Connett, Bradley D. can be contacted via phone (573) 302-3111.

Contact Information

Primary practice address
1075 Nichols Rd Osage Beach MO 65065-3093
Phone: (573) 302-3111
Fax: (573) 302-2869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 102732 Missouri
Allopathic & Osteopathic Physicians / Urology 208800000X 0424419 Kansas
Allopathic & Osteopathic Physicians / Urology 208800000X 26727 Kentucky

Profile Details

NPI number 1750356663
LBN Legal business name Connett, Bradley D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Oct 12th, 2016 - about 9 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 1750356663 NPPES
Other 340017670 RAILROAD MEDICARE
MEDICAID 100153430B RAILROAD MEDICARE

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