Paetz, Bradley

Paetz, Bradley is an individual health care provider with primary practice located at 2809 Denny Ave , Pascagoula MS 39581-5301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Paetz, Bradley can be contacted via phone (228) 809-5510.

Contact Information

Primary practice address
2809 Denny Ave Pascagoula MS 39581-5301
Phone: (228) 809-5510
Fax: (228) 809-5519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16398 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16398 Mississippi

Profile Details

NPI number 1770634966
LBN Legal business name Paetz, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jun 10th, 2016 - about 9 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 1770634966 NPPES
Other 110191461 MEDICARE RAILROAD
Other 009917135 MEDICARE RAILROAD
MEDICAID 00121267 MEDICARE RAILROAD
Other 110001225 MEDICARE RAILROAD
Other 646000515E MEDICARE RAILROAD

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