Bradley, Mark
Bradley, Mark is an individual health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97470-6523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Bradley, Mark can be contacted via phone (541) 440-1000.Contact Information
Primary practice address
913 Nw Garden Valley Blvd
Roseburg OR 97470-6523
Phone: (541) 440-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | G065181 | California |
Profile Details
| NPI number | 1427162635 |
|---|---|
| LBN Legal business name | Bradley, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 14th, 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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