Shuder, Bradley James

Shuder, Bradley James is an individual health care provider with primary practice located at 549 E County Line Rd Suite G, Greenwood IN 46143-1067. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shuder, Bradley James can be contacted via phone (317) 881-9364.

Contact Information

Primary practice address
549 E County Line Rd Suite G Greenwood IN 46143-1067
Phone: (317) 881-9364
Fax: (317) 883-0881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009045A Indiana

Profile Details

NPI number 1487764205
LBN Legal business name Shuder, Bradley James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 25th, 2015 - about 9 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 1487764205 NPPES
Indiana MEDICAID 100131310A

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