Bradley, Joel F
Bradley, Joel F is an individual health care provider with primary practice located at 2199 Memorial Dr , Clarksville TN 37043-4447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bradley, Joel F can be contacted via phone (931) 245-8400.Contact Information
Primary practice address
2199 Memorial Dr
Clarksville TN 37043-4447
Phone: (931) 245-8400
Fax: (931) 245-8465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15436 | Tennessee |
Profile Details
| NPI number | 1073594321 |
|---|---|
| LBN Legal business name | Bradley, Joel F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073594321 | NPPES |
| Tennessee | MEDICAID | 3008519 |
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