Schaffer, Bradley K
Schaffer, Bradley K is an individual health care provider with primary practice located at 123 Summer St Suite 520, Worcester MA 01608-3609. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Schaffer, Bradley K can be contacted via phone (508) 363-6363.Contact Information
Primary practice address
123 Summer St Suite 520
Worcester MA 01608-3609
Phone: (508) 363-6363
Fax: (508) 363-6366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 160955 | Massachusetts |
Profile Details
| NPI number | 1508817834 |
|---|---|
| LBN Legal business name | Schaffer, Bradley K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 20th, 2015 - about 10 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 | 1508817834 | NPPES |
| Massachusetts | MEDICAID | 0156019 |
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