Bradley, Glenn Robert

Bradley, Glenn Robert is an individual health care provider with primary practice located at 909 Elizabeth Ave , Elizabeth NJ 07201-2710. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bradley, Glenn Robert can be contacted via phone (908) 629-0779.

Contact Information

Primary practice address
909 Elizabeth Ave Elizabeth NJ 07201-2710
Phone: (908) 629-0779
Fax: (908) 629-0804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00547600 New Jersey

Profile Details

NPI number 1538373170
LBN Legal business name Bradley, Glenn Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 18 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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