Bradley, Marc

Bradley, Marc is an sole proprietor health care provider with primary practice located at 111 Elm Street , Weber City VA 24290. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bradley, Marc can be contacted via phone (276) 386-7778.

Contact Information

Primary practice address
111 Elm Street Weber City VA 24290
Phone: (276) 386-7778
Fax: (276) 386-7857
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104556003 Virginia

Profile Details

NPI number 1861598211
LBN Legal business name Bradley, Marc
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861598211 NPPES
Virginia Other 7647380 AETNA
Virginia Other VA0104 AETNA
Virginia Other 175344 AETNA
Virginia MEDICAID 4047000 AETNA

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