Pewitt, Edward Bradley
Pewitt, Edward Bradley is an individual health care provider with primary practice located at 701 Tech Center Dr , Gahanna OH 43230-1987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pewitt, Edward Bradley can be contacted via phone (614) 396-2684.Contact Information
Primary practice address
701 Tech Center Dr
Gahanna OH 43230-1987
Phone: (614) 396-2684
Fax: (614) 396-2480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35074620 | Ohio |
Profile Details
| NPI number | 1104873744 |
|---|---|
| LBN Legal business name | Pewitt, Edward Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Feb 13th, 2020 - 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 | 1104873744 | NPPES |
| Ohio | Other | 0360280 | RAILROAD MEDICARE |
| Ohio | MEDICAID | 2084917 | RAILROAD MEDICARE |
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