Devereaux, Bradley Jay
Devereaux, Bradley Jay is an sole proprietor health care provider with primary practice located at 190 W 100 S Suite A, Bountiful UT 84010-6205. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Devereaux, Bradley Jay can be contacted via phone (801) 292-1111.Contact Information
Primary practice address
190 W 100 S Suite A
Bountiful UT 84010-6205
Phone: (801) 292-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 368851-1202 | Utah |
Profile Details
| NPI number | 1093919359 |
|---|---|
| LBN Legal business name | Devereaux, Bradley Jay |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jul 8th, 2007 - 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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