Bradley, Paul
Bradley, Paul is an individual health care provider with primary practice located at 1521 22Nd Ave A, Meridian MS 39301-4016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bradley, Paul can be contacted via phone (601) 703-3830.Contact Information
Primary practice address
1521 22Nd Ave A
Meridian MS 39301-4016
Phone: (601) 703-3830
Fax: (601) 553-2069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 22080 | Mississippi |
Profile Details
| NPI number | 1154577088 |
|---|---|
| LBN Legal business name | Bradley, Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2008 |
| Last updated | Sep 2nd, 2014 - about 11 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 | 1154577088 | NPPES |
| Mississippi | MEDICAID | 03735301 |
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