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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649255753 | NPPES |
Ohio | Other | 080153957 | RAILROAD MEDICARE |
Ohio | MEDICAID | 0737313 | RAILROAD MEDICARE |
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