Bradtke, Dennis Edward
Bradtke, Dennis Edward is an individual health care provider with primary practice located at 10201 Mission Gorge Rd , Santee CA 92071-3027. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bradtke, Dennis Edward can be contacted via phone (619) 383-6868.Contact Information
Primary practice address
10201 Mission Gorge Rd
Santee CA 92071-3027
Phone: (619) 383-6868
Fax: (619) 312-2661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1700512084 |
|---|---|
| LBN Legal business name | Bradtke, Dennis Edward |
| Credentials | NA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2022 |
| Last updated | Aug 10th, 2022 - about 3 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 | 1700512084 | NPPES |
| Other | NA | NA |
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