Orvis, Bradley R

Orvis, Bradley R is an individual health care provider with primary practice located at 901 Montgomery St , Decorah IA 52101-2325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Orvis, Bradley R can be contacted via phone (563) 382-2911.

Contact Information

Primary practice address
901 Montgomery St Decorah IA 52101-2325
Phone: (563) 382-2911
Fax: (563) 387-3102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 34024 Iowa

Profile Details

NPI number 1336143791
LBN Legal business name Orvis, Bradley R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 22nd, 2015 - about 10 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 1336143791 NPPES
Iowa MEDICAID 1236687
Iowa MEDICAID 130142000

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