Bradley, Mark
Bradley, Mark is an individual health care provider with primary practice located at 507 Shelburne Rd , Burlington VT 05401-5008. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bradley, Mark can be contacted via phone (802) 864-5150.Contact Information
Primary practice address
507 Shelburne Rd
Burlington VT 05401-5008
Phone: (802) 864-5150
Fax: (802) 860-0668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 816 | Vermont |
Profile Details
| NPI number | 1982775391 |
|---|---|
| LBN Legal business name | Bradley, Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Oct 23rd, 2014 - about 10 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 | 1982775391 | NPPES |
| Vermont | Other | 5962 | BCBSVT |
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