Allen, John Bradley

Allen, John Bradley is an individual health care provider with primary practice located at 13532 Steelecroft Pkwy , Charlotte NC 28278-7545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Allen, John Bradley can be contacted via phone (704) 295-3475.

Contact Information

Primary practice address
13532 Steelecroft Pkwy Charlotte NC 28278-7545
Phone: (704) 295-3475
Fax: (704) 295-3476
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2017-00467 North Carolina
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 2017-00467 North Carolina

Profile Details

NPI number 1689968216
LBN Legal business name Allen, John Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2011
Last updated Apr 27th, 2021 - about 4 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 1689968216 NPPES
South Carolina MEDICAID NC3146
South Carolina MEDICAID 0122221

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