Litke, Bradley Scott

Litke, Bradley Scott is an individual health care provider with primary practice located at 901 Saint Marys Dr Ste 300 , Evansville IN 47714-0521. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Litke, Bradley Scott can be contacted via phone (812) 473-2642.

Contact Information

Primary practice address
901 Saint Marys Dr Ste 300 Evansville IN 47714-0521
Phone: (812) 473-2642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME76130 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME76130 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01080295A Indiana

Profile Details

NPI number 1992790612
LBN Legal business name Litke, Bradley Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 19th, 2022 - about 3 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 1992790612 NPPES
Indiana Other P02110464 MEDICARE RR
Indiana MEDICAID 300017621 MEDICARE RR
Indiana MEDICAID 2544997 MEDICARE RR
Indiana Other 266180C35 MEDICARE RR

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