Mitchel, Bradley W

Mitchel, Bradley W is an individual health care provider with primary practice located at 6125 S Broadway , Lorain OH 44053-3820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mitchel, Bradley W can be contacted via phone (440) 233-8181.

Contact Information

Primary practice address
6125 S Broadway Lorain OH 44053-3820
Phone: (440) 233-8181
Fax: (440) 233-8182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35082548M Ohio

Profile Details

NPI number 1255384517
LBN Legal business name Mitchel, Bradley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 19th, 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 1255384517 NPPES
Ohio MEDICAID 2555159

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