Hayes, Bradley L.

Hayes, Bradley L. is an individual health care provider with primary practice located at 1331 S A St , Elwood IN 46036-1942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hayes, Bradley L. can be contacted via phone (765) 552-4600.

Contact Information

Primary practice address
1331 S A St Elwood IN 46036-1942
Phone: (765) 552-4600
Fax: (765) 552-4680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01042666A Indiana

Profile Details

NPI number 1891736419
LBN Legal business name Hayes, Bradley L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 1st, 2021 - about 4 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 1891736419 NPPES
Indiana Other 000000658250 BC/BS
Indiana MEDICAID 200033680 BC/BS
Indiana Other P00775288 BC/BS
Indiana Other 000000626582 BC/BS
Indiana Other P00841041 BC/BS

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