Bradley, Christopher
Bradley, Christopher is an individual health care provider with primary practice located at 249 Williamson Rd Suite 101, Mooresville NC 28117-8195. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bradley, Christopher can be contacted via phone (704) 360-4564.Contact Information
Primary practice address
249 Williamson Rd Suite 101
Mooresville NC 28117-8195
Phone: (704) 360-4564
Fax: (704) 360-4553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001006280 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001006280 | North Carolina |
Profile Details
NPI number | 1790144558 |
---|---|
LBN Legal business name | Bradley, Christopher |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2016 |
Last updated | Mar 26th, 2021 - about 3 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 | 1790144558 | NPPES |
North Carolina | Other | 0010-06280 | NC LICENSE |
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