Coers, Bradford Ray

Coers, Bradford Ray is an individual health care provider with primary practice located at 2520 California St , Columbus IN 47201-3676. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Coers, Bradford Ray can be contacted via phone (812) 418-0080.

Contact Information

Primary practice address
2520 California St Columbus IN 47201-3676
Phone: (812) 418-0080
Fax: (812) 418-0090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002988B Indiana

Profile Details

NPI number 1245298330
LBN Legal business name Coers, Bradford Ray
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 25th, 2007 - about 19 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 1245298330 NPPES
Indiana MEDICAID 200234300B

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