Lindstrom, Brad A.

Lindstrom, Brad A. is an individual health care provider with primary practice located at 211 E Butler Rd Suite A-2, Mauldin SC 29662-2169. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Lindstrom, Brad A. can be contacted via phone (864) 281-9171.

Contact Information

Primary practice address
211 E Butler Rd Suite A-2 Mauldin SC 29662-2169
Phone: (864) 281-9171
Fax: (864) 281-9170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 555 South Carolina

Profile Details

NPI number 1609850122
LBN Legal business name Lindstrom, Brad A.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 17 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 1609850122 NPPES
South Carolina MEDICAID 735550

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