Moritz, John Bradley

Moritz, John Bradley is an individual health care provider with primary practice located at 13221 Ravenna Rd Suite 8, Chardon OH 44024-9047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moritz, John Bradley can be contacted via phone (440) 286-6155.

Contact Information

Primary practice address
13221 Ravenna Rd Suite 8 Chardon OH 44024-9047
Phone: (440) 286-6155
Fax: (440) 286-6156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35056678 Ohio

Profile Details

NPI number 1649255753
LBN Legal business name Moritz, John Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Jan 15th, 2021 - 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 1649255753 NPPES
Ohio Other 080153957 RAILROAD MEDICARE
Ohio MEDICAID 0737313 RAILROAD MEDICARE

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