Siegmund, Brad Thomas

Siegmund, Brad Thomas is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Siegmund, Brad Thomas can be contacted via phone (804) 862-5010.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-9274
Phone: (804) 862-5010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101034642 Virginia

Profile Details

NPI number 1932170909
LBN Legal business name Siegmund, Brad Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated May 13th, 2013 - about 11 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 1932170909 NPPES
Other P01155111 RAILROAD MEDICARE
MEDICAID 1932170909 RAILROAD MEDICARE

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