Fell, Bradley A

Fell, Bradley A is an individual health care provider with primary practice located at One Park Way , Seneca PA 16346-0802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fell, Bradley A can be contacted via phone (814) 676-5444.

Contact Information

Primary practice address
One Park Way Seneca PA 16346-0802
Phone: (814) 676-5444
Fax: (814) 676-0342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD056270L Pennsylvania

Profile Details

NPI number 1558331280
LBN Legal business name Fell, Bradley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 13th, 2011 - about 14 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 1558331280 NPPES
Pennsylvania MEDICAID 0015982500005

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