Davis, Bradley

Davis, Bradley is an individual health care provider with primary practice located at 539 Us Highway 9 , Lanoka Harbor NJ 08734-2211. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davis, Bradley can be contacted via phone (609) 549-6266.

Contact Information

Primary practice address
539 Us Highway 9 Lanoka Harbor NJ 08734-2211
Phone: (609) 549-6266
Fax: (609) 549-5600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB10217800 New Jersey

Profile Details

NPI number 1790197101
LBN Legal business name Davis, Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2014
Last updated May 24th, 2023 - about 2 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 1790197101 NPPES
New Jersey MEDICAID 0613886

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