Bradley, Amanda Jo

Bradley, Amanda Jo is an individual health care provider with primary practice located at 305 S State St , Aberdeen SD 57401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bradley, Amanda Jo can be contacted via phone (605) 622-5100.

Contact Information

Primary practice address
305 S State St Aberdeen SD 57401
Phone: (605) 622-5100
Fax: (605) 622-4030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11206 North Dakota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301087693 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10961 South Dakota

Profile Details

NPI number 1336341866
LBN Legal business name Bradley, Amanda Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Nov 7th, 2018 - about 6 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 1336341866 NPPES
North Dakota MEDICAID 1450785

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