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
Phone: (765) 252-3370
Fax: (765) 252-3380
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366446122 | NPPES |
Indiana | MEDICAID | 300044539 |
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