Wilson, Bradley C

Wilson, Bradley C is an sole proprietor health care provider with primary practice located at 7756 State Route 37 E , New Lexington OH 43764-9512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Bradley C can be contacted via phone (740) 342-3540.

Contact Information

Primary practice address
7756 State Route 37 E New Lexington OH 43764-9512
Phone: (740) 342-3540
Fax: (740) 342-3879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34004144 Ohio

Profile Details

NPI number 1225020878
LBN Legal business name Wilson, Bradley C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Oct 14th, 2010 - about 14 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 1225020878 NPPES
Ohio MEDICAID 2427136

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