Bradley, Kevin
Bradley, Kevin is an sole proprietor health care provider with primary practice located at 903 13Th St , Virginia Beach VA 23451-4476. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bradley, Kevin can be contacted via phone (910) 465-5610.Contact Information
Primary practice address
903 13Th St
Virginia Beach VA 23451-4476
Phone: (910) 465-5610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1306455522 |
|---|---|
| LBN Legal business name | Bradley, Kevin |
| Credentials | SOIDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Jul 23rd, 2020 - about 4 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 | 1306455522 | NPPES |
| Other | 1367445790 | NAVY |
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