Stelflug, Bradley Wayne

Stelflug, Bradley Wayne is an individual health care provider with primary practice located at 7 Meadows Shopping Ctr , Terre Haute IN 47803-2373. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stelflug, Bradley Wayne can be contacted via phone (812) 237-0211.

Contact Information

Primary practice address
7 Meadows Shopping Ctr Terre Haute IN 47803-2373
Phone: (812) 237-0211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28159112A Indiana

Profile Details

NPI number 1689672560
LBN Legal business name Stelflug, Bradley Wayne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated May 27th, 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 1689672560 NPPES
Indiana MEDICAID 200484110

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