Veldstra, Bradley Dean

Veldstra, Bradley Dean is an sole proprietor health care provider with primary practice located at 1775 Thompson Rd , Coos Bay OR 97420-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Veldstra, Bradley Dean can be contacted via phone (541) 269-8027.

Contact Information

Primary practice address
1775 Thompson Rd Coos Bay OR 97420-2125
Phone: (541) 269-8027
Fax: (541) 269-8024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD20000 Oregon

Profile Details

NPI number 1518093822
LBN Legal business name Veldstra, Bradley Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jul 9th, 2007 - about 17 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 1518093822 NPPES
Oregon MEDICAID 081620
Oregon Other 1225016561
Oregon Other 0000ZGBJD

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