Bradley, Deborah
Bradley, Deborah is an individual health care provider with primary practice located at 83 Herrick St Suite 2004, Beverly MA 01915-2757. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Bradley, Deborah can be contacted via phone (978) 927-4800.Contact Information
Primary practice address
83 Herrick St Suite 2004
Beverly MA 01915-2757
Phone: (978) 927-4800
Fax: (978) 232-5772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 74787 | Massachusetts |
Profile Details
| NPI number | 1063439545 |
|---|---|
| LBN Legal business name | Bradley, Deborah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 27th, 2012 - about 13 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 | 1063439545 | NPPES |
| Massachusetts | MEDICAID | 3083501 |
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