Drake, Bradley
Drake, Bradley is an sole proprietor health care provider with primary practice located at 697 Highway 31 Nw , Hartselle AL 35640-4408. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Drake, Bradley can be contacted via phone (256) 773-3997.Contact Information
Primary practice address
697 Highway 31 Nw
Hartselle AL 35640-4408
Phone: (256) 773-3997
Fax: (256) 773-8993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | SA49TA629 | Alabama |
Profile Details
| NPI number | 1528048469 |
|---|---|
| LBN Legal business name | Drake, Bradley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | May 10th, 2021 - 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 | 1528048469 | NPPES |
| Alabama | MEDICAID | 009937485 |
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