Folkestad, Bradley John

Folkestad, Bradley John is an individual health care provider with primary practice located at 18699 N 67Th Ave Ste 320, Glendale AZ 85308-7143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Folkestad, Bradley John can be contacted via phone (623) 561-7250.

Contact Information

Primary practice address
18699 N 67Th Ave Ste 320 Glendale AZ 85308-7143
Phone: (623) 561-7250
Fax: (623) 561-0098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19824 Arizona

Profile Details

NPI number 1073516381
LBN Legal business name Folkestad, Bradley John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 8th, 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 1073516381 NPPES
Arizona MEDICAID 106246

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