Bradley, Erik S
Bradley, Erik S is an individual health care provider with primary practice located at 1415 Foulk Road Suite 200, Wilmington DE 19803-2748. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bradley, Erik S can be contacted via phone (302) 477-4900.Contact Information
Primary practice address
1415 Foulk Road Suite 200
Wilmington DE 19803-2748
Phone: (302) 477-4900
Fax: (302) 477-4943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | GI0001026 | Delaware |
Profile Details
| NPI number | 1710048871 |
|---|---|
| LBN Legal business name | Bradley, Erik S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1710048871 | NPPES |
| Delaware | MEDICAID | 0000925608 |
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