Swelstad, Brad B
Swelstad, Brad B is an individual health care provider with primary practice located at 13580 Groupe Dr Ste 105 , Woodbridge VA 22192-4163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Swelstad, Brad B can be contacted via phone (703) 680-1770.Contact Information
Primary practice address
13580 Groupe Dr Ste 105
Woodbridge VA 22192-4163
Phone: (703) 680-1770
Fax: (855) 402-1839
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60680871 | Washington |
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 0101265847 | Virginia |
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | D0066846 | Maryland |
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | N0491 | Texas |
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A116519 | California |
Profile Details
NPI number | 1033382049 |
---|---|
LBN Legal business name | Swelstad, Brad B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2008 |
Last updated | Nov 27th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033382049 | NPPES |
Maryland | MEDICAID | 018471300 |
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