Brady, Mary Lee
Brady, Mary Lee is an sole proprietor health care provider with primary practice located at 8712 Frankford Ave 1A, Philadelphia PA 19136-1300. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Brady, Mary Lee can be contacted via phone (215) 332-7828.Contact Information
Primary practice address
8712 Frankford Ave 1A
Philadelphia PA 19136-1300
Phone: (215) 332-7828
Fax: (215) 332-7824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC-002993-L | Pennsylvania |
Profile Details
| NPI number | 1518965227 |
|---|---|
| LBN Legal business name | Brady, Mary Lee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | May 5th, 2016 - about 9 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 | 1518965227 | NPPES |
| Pennsylvania | Other | 187672 | PERSONAL CHOICE |
| Pennsylvania | Other | 1059212 | PERSONAL CHOICE |
| Pennsylvania | Other | 0061117000 | PERSONAL CHOICE |
| Pennsylvania | Other | 187672 | PERSONAL CHOICE |
| Pennsylvania | Other | 187672 | PERSONAL CHOICE |
| Pennsylvania | MEDICAID | 1013353 | PERSONAL CHOICE |
| Pennsylvania | Other | 0061117000 | PERSONAL CHOICE |
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