Stetzer, Bradley
Stetzer, Bradley is an individual health care provider with primary practice located at 550 Peachtree St Ne Ste 1275 , Atlanta GA 30308-2240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Stetzer, Bradley can be contacted via phone (404) 872-3121.Contact Information
Primary practice address
550 Peachtree St Ne Ste 1275
Atlanta GA 30308-2240
Phone: (404) 872-3121
Fax: (404) 872-3119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 95138 | Georgia |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 34007125 | Ohio |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 5101012356 | Ohio |
Profile Details
| NPI number | 1932132511 |
|---|---|
| LBN Legal business name | Stetzer, Bradley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932132511 | NPPES |
| Ohio | MEDICAID | 2176309 | |
| Ohio | MEDICAID | 003288318 | |
| Ohio | Other | 5382801500 |
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