Stephens, Bradford A

Stephens, Bradford A is an individual health care provider with primary practice located at 29 Church St , Lake Placid NY 12946-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stephens, Bradford A can be contacted via phone (518) 523-1327.

Contact Information

Primary practice address
29 Church St Lake Placid NY 12946-1805
Phone: (518) 523-1327
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 192478 New York

Profile Details

NPI number 1194723734
LBN Legal business name Stephens, Bradford A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 8th, 2007 - about 19 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 1194723734 NPPES
New York MEDICAID 01474437

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