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
Fax: (302) 477-4943
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710048871 NPPES
Delaware MEDICAID 0000925608

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