Vander Veen, Bradley Scott

Vander Veen, Bradley Scott is an individual health care provider with primary practice located at 490 Dunlop Ln , Clarksville TN 37040-5007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vander Veen, Bradley Scott can be contacted via phone (931) 245-8600.

Contact Information

Primary practice address
490 Dunlop Ln Clarksville TN 37040-5007
Phone: (931) 245-8600
Fax: (931) 245-8660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34497 Tennessee

Profile Details

NPI number 1558336487
LBN Legal business name Vander Veen, Bradley Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Aug 29th, 2022 - about 2 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 1558336487 NPPES
Tennessee MEDICAID Q004462

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