Weber, Bradley Alan

Weber, Bradley Alan is an sole proprietor health care provider with primary practice located at 7901 Schatz Pointe Dr , Dayton OH 45459-3856. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Weber, Bradley Alan can be contacted via phone (937) 439-0390.

Contact Information

Primary practice address
7901 Schatz Pointe Dr Dayton OH 45459-3856
Fax: (937) 439-7370
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34004205W Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 34-004205 Ohio

Profile Details

NPI number 1205819125
LBN Legal business name Weber, Bradley Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Jan 14th, 2016 - about 9 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 1205819125 NPPES
Ohio MEDICAID 0748196

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