Bradley, Benjamin

Bradley, Benjamin is an sole proprietor health care provider with primary practice located at 109 W 6Th St , Okmulgee OK 74447-5015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bradley, Benjamin can be contacted via phone (918) 779-0709.

Contact Information

Primary practice address
109 W 6Th St Okmulgee OK 74447-5015
Phone: (918) 779-0709
Fax: (918) 758-1358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 67001 Oklahoma

Profile Details

NPI number 1730518788
LBN Legal business name Bradley, Benjamin
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2013
Last updated Mar 17th, 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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