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
Fax: (585) 343-3601
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598853632 NPPES
New York MEDICAID 01306610

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