Schaefer, Gerald Bradley
Schaefer, Gerald Bradley is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762-0845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Schaefer, Gerald Bradley can be contacted via phone (479) 725-6880.Contact Information
Primary practice address
2601 Gene George Blvd
Springdale AR 72762-0845
Phone: (479) 725-6880
Fax: (479) 725-6582
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 18185 | Nebraska |
Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | E5822 | Arkansas |
Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 18185 | Nebraska |
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | E5822 | Arkansas |
Profile Details
NPI number | 1225089204 |
---|---|
LBN Legal business name | Schaefer, Gerald Bradley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2006 |
Last updated | Oct 4th, 2018 - about 6 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 | 1225089204 | NPPES |
Arkansas | MEDICAID | 126153001 |
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