Drennen, Bradley Russell

Drennen, Bradley Russell is an individual health care provider with primary practice located at 1322 Eisenhower Blvd , Johnstown PA 15904-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Drennen, Bradley Russell can be contacted via phone (814) 266-8840.

Contact Information

Primary practice address
1322 Eisenhower Blvd Johnstown PA 15904-3307
Phone: (814) 266-8840
Fax: (814) 266-2176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 05008398L Pennsylvania

Profile Details

NPI number 1215993340
LBN Legal business name Drennen, Bradley Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 18th, 2019 - 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 1215993340 NPPES
Pennsylvania MEDICAID 0014861460001

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