Sieckman, Bradley
Sieckman, Bradley is an sole proprietor health care provider with primary practice located at 106 Physicians Dr , Greer SC 29650-2445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sieckman, Bradley can be contacted via phone (864) 797-9100.Contact Information
Primary practice address
106 Physicians Dr
Greer SC 29650-2445
Phone: (864) 797-9100
Fax: (864) 241-9239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 82270 | South Carolina |
Profile Details
| NPI number | 1083077184 |
|---|---|
| LBN Legal business name | Sieckman, Bradley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2016 |
| Last updated | May 10th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083077184 | NPPES |
| South Carolina | MEDICAID | 822701 |
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