Sellers, Bradley Randall

Sellers, Bradley Randall is an individual health care provider with primary practice located at 33 North Ave Suite 103, Tallmadge OH 44278-1925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sellers, Bradley Randall can be contacted via phone (330) 633-3883.

Contact Information

Primary practice address
33 North Ave Suite 103 Tallmadge OH 44278-1925
Phone: (330) 633-3883
Fax: (330) 633-6658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-08-1663-S Ohio

Profile Details

NPI number 1861467169
LBN Legal business name Sellers, Bradley Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 3rd, 2022 - about 2 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 1861467169 NPPES
Ohio MEDICAID 2345877
Ohio Other 000000181144
Ohio Other 000000341614
Ohio Other 729962
Ohio Other Q039874
Ohio Other 000000341614
Ohio Other 796

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