Bradley, Laurence Martin
Bradley, Laurence Martin is an sole proprietor health care provider with primary practice located at 2230 Huntington Dr N , Algonquin IL 60102-4419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bradley, Laurence Martin can be contacted via phone (847) 603-4146.Contact Information
Primary practice address
2230 Huntington Dr N
Algonquin IL 60102-4419
Phone: (847) 603-4146
Fax: (847) 960-3675
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036.142867 | Illinois |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036.142867 | Illinois |
Profile Details
NPI number | 1639516313 |
---|---|
LBN Legal business name | Bradley, Laurence Martin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 4th, 2013 |
Last updated | Jan 3rd, 2023 - about 2 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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