Carroll, Bradley

Carroll, Bradley is an individual health care provider with primary practice located at 909 Morgantown Ave , Fairmont WV 26554-4335. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Carroll, Bradley can be contacted via phone (304) 816-9051.

Contact Information

Primary practice address
909 Morgantown Ave Fairmont WV 26554-4335
Phone: (304) 816-9051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 2012-2932 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X M04990 Maryland
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1215340773
LBN Legal business name Carroll, Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2014
Last updated Nov 8th, 2022 - about 4 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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