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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750356663 | NPPES |
Other | 340017670 | RAILROAD MEDICARE | |
MEDICAID | 100153430B | RAILROAD MEDICARE |
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