Vossberg, Bradley J.

Vossberg, Bradley J. is an sole proprietor health care provider with primary practice located at 1517 Rockford Ct , Kokomo IN 46902-3207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Vossberg, Bradley J. can be contacted via phone (765) 252-3370.

Contact Information

Primary practice address
1517 Rockford Ct Kokomo IN 46902-3207
Fax: (765) 252-3380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01045512A Indiana
Other Service Providers / Specialist 174400000X 01045512A Indiana

Profile Details

NPI number 1366446122
LBN Legal business name Vossberg, Bradley J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Sep 12th, 2022 - about 3 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 1366446122 NPPES
Indiana MEDICAID 300044539

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