Shollenberger, Bradly Scott

Shollenberger, Bradly Scott is an individual health care provider with primary practice located at 4885 Demoss Rd Suite 103, Reading PA 19606-9023. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Shollenberger, Bradly Scott can be contacted via phone (610) 779-4020.

Contact Information

Primary practice address
4885 Demoss Rd Suite 103 Reading PA 19606-9023
Phone: (610) 779-4020
Fax: (610) 776-7044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002902L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC002902L Pennsylvania

Profile Details

NPI number 1366433591
LBN Legal business name Shollenberger, Bradly Scott
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2005
Last updated Nov 2nd, 2007 - about 17 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 1366433591 NPPES
Pennsylvania Other 31854 MERCY
Pennsylvania Other 688055 MERCY
Pennsylvania Other 7990970 MERCY
Pennsylvania Other 0522660000 MERCY
Pennsylvania Other 01328801 MERCY
Pennsylvania Other 116509 MERCY
Pennsylvania Other 688055 MERCY
Pennsylvania Other 0020421000 MERCY
Pennsylvania MEDICAID 011820330007 MERCY

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