Schaffer, Bradley K

Schaffer, Bradley K is an individual health care provider with primary practice located at 123 Summer St Suite 520, Worcester MA 01608-3609. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Schaffer, Bradley K can be contacted via phone (508) 363-6363.

Contact Information

Primary practice address
123 Summer St Suite 520 Worcester MA 01608-3609
Phone: (508) 363-6363
Fax: (508) 363-6366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 160955 Massachusetts

Profile Details

NPI number 1508817834
LBN Legal business name Schaffer, Bradley K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Feb 20th, 2015 - about 11 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 1508817834 NPPES
Massachusetts MEDICAID 0156019

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