Sloan, Bradley S

Sloan, Bradley S is an individual health care provider with primary practice located at 1225 W Stadium Blvd , Jefferson City MO 65109-6003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Sloan, Bradley S can be contacted via phone (573) 635-8000.

Contact Information

Primary practice address
1225 W Stadium Blvd Jefferson City MO 65109-6003
Phone: (573) 635-8000
Fax: (573) 556-1710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MO108684 Missouri

Profile Details

NPI number 1780789032
LBN Legal business name Sloan, Bradley S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Apr 29th, 2016 - 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 1780789032 NPPES
Missouri MEDICAID 249990573
Missouri MEDICAID 1780789032

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