Oldemeyer, John Bradley
Oldemeyer, John Bradley is an individual health care provider with primary practice located at 2121 E Harmony Rd Unit 100, Fort Collins CO 80528-3401. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Oldemeyer, John Bradley can be contacted via phone (970) 221-1000.Contact Information
Primary practice address
2121 E Harmony Rd Unit 100
Fort Collins CO 80528-3401
Phone: (970) 221-1000
Fax: (970) 297-6860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 42588 | Colorado |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 20564 | Nebraska |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 42588 | Colorado |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 42588 | Colorado |
Profile Details
| NPI number | 1700882123 |
|---|---|
| LBN Legal business name | Oldemeyer, John Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Mar 22nd, 2016 - about 8 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 | 1700882123 | NPPES |
| Wyoming | MEDICAID | 119686300 | |
| Wyoming | MEDICAID | 3810024590 | |
| Wyoming | MEDICAID | 16155564 | |
| Wyoming | Other | P00970363 |
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