Ecker, J. Bradley
Ecker, J. Bradley is an sole proprietor health care provider with primary practice located at 413 East Main St , Batavia NY 14020. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Ecker, J. Bradley can be contacted via phone (585) 343-1900.Contact Information
Primary practice address
413 East Main St
Batavia NY 14020
Phone: (585) 343-1900
Fax: (585) 343-3601
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 043998 | New York |
Dental Providers / Pediatric Dentistry | 1223P0221X | 043998-1 | New York |
Profile Details
NPI number | 1598853632 |
---|---|
LBN Legal business name | Ecker, J. Bradley |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 11th, 2006 |
Last updated | Mar 30th, 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 | 1598853632 | NPPES |
New York | MEDICAID | 01306610 |
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