Bradstreet, Richard Perry

Bradstreet, Richard Perry is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bradstreet, Richard Perry can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 887-4193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 191061-1 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD043186L Pennsylvania

Profile Details

NPI number 1710950423
LBN Legal business name Bradstreet, Richard Perry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated Mar 4th, 2021 - about 5 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 1710950423 NPPES
Pennsylvania Other 220029205 RR MEDICARE PIN
Pennsylvania Other CC9269 RR MEDICARE PIN
Pennsylvania MEDICAID 0012731650001 RR MEDICARE PIN
Pennsylvania Other GU039827 RR MEDICARE PIN
Pennsylvania MEDICAID 01297263 RR MEDICARE PIN

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