Bentley, Bradford
Bentley, Bradford is an sole proprietor health care provider with primary practice located at 15623 1St Ave S Ste C , Burien WA 98148-1292. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bentley, Bradford can be contacted via phone (206) 444-6320.Contact Information
Primary practice address
15623 1St Ave S Ste C
Burien WA 98148-1292
Phone: (206) 444-6320
Fax: (206) 444-6302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00007787 | Washington |
Profile Details
| NPI number | 1750438529 |
|---|---|
| LBN Legal business name | Bentley, Bradford |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Mar 7th, 2022 - about 2 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 | 1750438529 | NPPES |
| Washington | Other | 8865497 | MEDICARE (GROUP #) |
| Washington | Other | 0142606 | MEDICARE (GROUP #) |
| Washington | Other | 5411BE | MEDICARE (GROUP #) |
| Washington | Other | 912117273 | MEDICARE (GROUP #) |
| Washington | Other | 1598725798 | MEDICARE (GROUP #) |
| Washington | MEDICAID | 7104300 | MEDICARE (GROUP #) |
| Washington | Other | 5122997 | MEDICARE (GROUP #) |
| Washington | Other | 8865765 | MEDICARE (GROUP #) |
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