Stalter, Bradley A

Stalter, Bradley A is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Stalter, Bradley A can be contacted via phone (317) 577-4200.

Contact Information

Primary practice address
1701 N Senate Blvd Indianapolis IN 46202-1239
Phone: (317) 577-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01057547A Indiana

Profile Details

NPI number 1477543924
LBN Legal business name Stalter, Bradley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Nov 28th, 2023 - about 3 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 1477543924 NPPES
Indiana MEDICAID 200471880
Indiana Other 264430C46
Indiana Other Q00163581

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