Keith, Bradley J

Keith, Bradley J is an individual health care provider with primary practice located at 337 El Dorado St Ste A3, Monterey CA 93940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Keith, Bradley J can be contacted via phone (831) 649-4202.

Contact Information

Primary practice address
337 El Dorado St Ste A3 Monterey CA 93940
Phone: (831) 649-4202
Fax: (831) 649-0458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G560880 California

Profile Details

NPI number 1184725624
LBN Legal business name Keith, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 18th, 2013 - about 11 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 1184725624 NPPES
California Other 1184725624 NPI
California MEDICAID GR00761410 NPI

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