Bauman, Bradley

Bauman, Bradley is an individual health care provider with primary practice located at 5045 Silver Fox Trl , Rockford IL 61114-7085. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Bauman, Bradley can be contacted via phone (815) 315-7662.

Contact Information

Primary practice address
5045 Silver Fox Trl Rockford IL 61114-7085
Phone: (815) 315-7662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 096003283 Illinois

Profile Details

NPI number 1114323409
LBN Legal business name Bauman, Bradley
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2014
Last updated Nov 13th, 2014 - about 10 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.

Request for update

Popular Providers