Schroeder, Kevin S

Schroeder, Kevin S is an individual health care provider with primary practice located at 2020 59Th Street West Blake Medical Center, Bradenton FL 34209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Schroeder, Kevin S can be contacted via phone (941) 792-6611.

Contact Information

Primary practice address
2020 59Th Street West Blake Medical Center Bradenton FL 34209
Phone: (941) 792-6611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0056356 Florida

Profile Details

NPI number 1689620809
LBN Legal business name Schroeder, Kevin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 17th, 2010 - about 16 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 1689620809 NPPES
Florida Other 300013482 RAIL ROAD MEDICARE
Florida MEDICAID 061651600 RAIL ROAD MEDICARE

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