Bradley, Benjamin T.

Bradley, Benjamin T. is an individual health care provider with primary practice located at 15 N Medical Dr Ste 1100 , Salt Lake City UT 84112-1100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Medical Microbiology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Bradley, Benjamin T. can be contacted via phone (801) 583-2787.

Contact Information

Primary practice address
15 N Medical Dr Ste 1100 Salt Lake City UT 84112-1100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 12093950-1205 Utah
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X 12093950-1205 Utah

Profile Details

NPI number 1912431941
LBN Legal business name Bradley, Benjamin T.
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2017
Last updated Apr 14th, 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.

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