Mutchler, Bradford Elrod
Mutchler, Bradford Elrod is an sole proprietor health care provider with primary practice located at 1219 N. Main St , Beaver Dam KY 42320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Mutchler, Bradford Elrod can be contacted via phone (270) 274-1800.Contact Information
Primary practice address
1219 N. Main St
Beaver Dam KY 42320
Phone: (270) 274-1800
Fax: (270) 274-5600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 13394 | Kentucky |
Profile Details
| NPI number | 1679792196 |
|---|---|
| LBN Legal business name | Mutchler, Bradford Elrod |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Apr 15th, 2009 - about 16 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 | 1679792196 | NPPES |
| Kentucky | MEDICAID | 64133945 |
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