Bradley, James Glenn
Bradley, James Glenn is an sole proprietor health care provider with primary practice located at 5370 Hollister Ave Suite B, Santa Barbara CA 93111-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bradley, James Glenn can be contacted via phone (805) 696-9600.Contact Information
Primary practice address
5370 Hollister Ave Suite B
Santa Barbara CA 93111-2303
Phone: (805) 696-9600
Fax: (805) 696-9000
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A22756 | California |
Profile Details
NPI number | 1912990219 |
---|---|
LBN Legal business name | Bradley, James Glenn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 23rd, 2005 |
Last updated | Feb 14th, 2008 - about 16 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 | 1912990219 | NPPES |
California | MEDICAID | 00A227560 |
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