Seely, Bradley H

Seely, Bradley H is an individual health care provider with primary practice located at 341 Medical Loop Ste 120, Roseburg OR 97471-5546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Seely, Bradley H can be contacted via phone (541) 440-6388.

Contact Information

Primary practice address
341 Medical Loop Ste 120 Roseburg OR 97471-5546
Phone: (541) 440-6388
Fax: (541) 672-0665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD17071 Oregon

Profile Details

NPI number 1487636825
LBN Legal business name Seely, Bradley H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 7th, 2008 - about 17 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 1487636825 NPPES
Oregon MEDICAID 024286

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