Friesen, Bradley T

Friesen, Bradley T is an individual health care provider with primary practice located at 52 Timberlane , South Burlington VT 05403-7296. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Friesen, Bradley T can be contacted via phone (802) 658-2320.

Contact Information

Primary practice address
52 Timberlane South Burlington VT 05403-7296
Phone: (802) 658-2320
Fax: (802) 863-6933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0420010235 Vermont

Profile Details

NPI number 1952315996
LBN Legal business name Friesen, Bradley T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
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 1952315996 NPPES
Vermont Other 260145 MVP
Vermont Other 58106 MVP
Vermont MEDICAID 1007927 MVP

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