Flansbaum, Bradley Evan

Flansbaum, Bradley Evan is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Flansbaum, Bradley Evan can be contacted via phone (570) 214-9585.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-3712
Phone: (570) 214-9585
Fax: (570) 214-9519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS018559 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 189557 New York

Profile Details

NPI number 1063455798
LBN Legal business name Flansbaum, Bradley Evan
Credentials DO, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 4th, 2022 - about 2 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 1063455798 NPPES
Pennsylvania MEDICAID 1032607400001
Pennsylvania MEDICAID 01731979

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