Bradley, Marly

Bradley, Marly is an individual health care provider with primary practice located at 702 Barnhill Dr , Indianapolis IN 46202-5128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Bradley, Marly can be contacted via phone (317) 274-3936.

Contact Information

Primary practice address
702 Barnhill Dr Indianapolis IN 46202-5128
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 01052950 Indiana

Profile Details

NPI number 1437171600
LBN Legal business name Bradley, Marly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 9th, 2007 - about 18 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 1437171600 NPPES
Indiana MEDICAID 200281390

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