Roelofs, Brad

Roelofs, Brad is an sole proprietor health care provider with primary practice located at 27702 Crown Valley Pkwy D4149, Ladera Ranch CA 92694-0608. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Cardiology, which is considered as his primary health care specialty. Roelofs, Brad can be contacted via phone (949) 407-8911.

Contact Information

Primary practice address
27702 Crown Valley Pkwy D4149 Ladera Ranch CA 92694-0608
Phone: (949) 407-8911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Cardiology 246W00000X

Profile Details

NPI number 1831363910
LBN Legal business name Roelofs, Brad
Credentials CCT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2008
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831363910 NPPES
California Other ZZZ42363Z BLUE SHIELD ITS

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