Baughman, Bradley J

Baughman, Bradley J is an individual health care provider with primary practice located at 8216 N Main St , Dayton OH 45415-1641. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Baughman, Bradley J can be contacted via phone (937) 898-2300.

Contact Information

Primary practice address
8216 N Main St Dayton OH 45415-1641
Phone: (937) 898-2300
Fax: (937) 898-2348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T1892 Ohio

Profile Details

NPI number 1215934625
LBN Legal business name Baughman, Bradley J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Apr 24th, 2018 - about 8 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 1215934625 NPPES
Ohio Other 2201360 UHC
Ohio Other 000000064638 UHC
Ohio MEDICAID 2298893 UHC

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