Restel, Bradley Hartwell

Restel, Bradley Hartwell is an individual health care provider with primary practice located at 3883 Airway Dr Suite 100, Santa Rosa CA 95403-1670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Restel, Bradley Hartwell can be contacted via phone (707) 521-4480.

Contact Information

Primary practice address
3883 Airway Dr Suite 100 Santa Rosa CA 95403-1670
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A114774 California

Profile Details

NPI number 1396910097
LBN Legal business name Restel, Bradley Hartwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated Jul 14th, 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 1396910097 NPPES
California Other FC830Y MEDICARE PTAN

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