Fehrenbach, Bradley William

Fehrenbach, Bradley William is an individual health care provider with primary practice located at 1746 Cole Blvd Ste 150 , Lakewood CO 80401-3267. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fehrenbach, Bradley William can be contacted via phone (303) 914-8800.

Contact Information

Primary practice address
1746 Cole Blvd Ste 150 Lakewood CO 80401-3267
Phone: (303) 914-8800
Fax: (303) 716-3777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X MD60551342 Washington
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X DR.0055346 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD172582 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0055346 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60551342 Washington

Profile Details

NPI number 1396970562
LBN Legal business name Fehrenbach, Bradley William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated Jun 29th, 2018 - about 7 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 1396970562 NPPES
Washington MEDICAID 2044583
Washington MEDICAID 500688593

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