Bradley, Edward Thomas
Bradley, Edward Thomas is an individual health care provider with primary practice located at 1170 Shawnee St Savannah Cboc, Savannah GA 31419-1618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bradley, Edward Thomas can be contacted via phone (912) 920-0214.Contact Information
Primary practice address
1170 Shawnee St Savannah Cboc
Savannah GA 31419-1618
Phone: (912) 920-0214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 28129 | Alabama |
Profile Details
| NPI number | 1770550014 |
|---|---|
| LBN Legal business name | Bradley, Edward Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Nov 17th, 2016 - about 8 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 | 1770550014 | NPPES |
| Alabama | Other | 51544352 | BLUE CROSS BLUE SHIELD AL |
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