Bradley, Terry Lee

Bradley, Terry Lee is an individual health care provider with primary practice located at 1324 E Garrison Blvd , Gastonia NC 28054. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bradley, Terry Lee can be contacted via phone (704) 861-1886.

Contact Information

Primary practice address
1324 E Garrison Blvd Gastonia NC 28054
Fax: (704) 761-1578
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1229 North Carolina

Profile Details

NPI number 1275603599
LBN Legal business name Bradley, Terry Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Mar 13th, 2008 - 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 1275603599 NPPES
North Carolina MEDICAID 7908278

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