Feltis, Brad A

Feltis, Brad A is an individual health care provider with primary practice located at 325 N State Of Franklin Rd Fl 3 , Johnson City TN 37604-6171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Feltis, Brad A can be contacted via phone (423) 439-7201.

Contact Information

Primary practice address
325 N State Of Franklin Rd Fl 3 Johnson City TN 37604-6171
Phone: (423) 439-7201
Fax: (423) 438-7219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 40928 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD60987 Tennessee

Profile Details

NPI number 1437110004
LBN Legal business name Feltis, Brad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Mar 6th, 2024 - about last year

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 1437110004 NPPES
Tennessee MEDICAID Q057730
Tennessee MEDICAID 108781900

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