Eli, Bradley A
Eli, Bradley A is an sole proprietor health care provider with primary practice located at 4403 Manchester Ave Suite 101, Encinitas CA 92024-4939. He recently has 4 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Other Service Providers / Specialist, Suppliers / Customized Equipment, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Eli, Bradley A can be contacted via phone (760) 436-6365.Contact Information
Primary practice address
4403 Manchester Ave Suite 101
Encinitas CA 92024-4939
Phone: (760) 436-6365
Fax: (760) 436-5123
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS36308 | California |
Other Service Providers / Specialist | 174400000X | 36308 | California |
Suppliers / Customized Equipment | 332BC3200X | 36308 | California |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | DS36308 | California |
Profile Details
NPI number | 1205948270 |
---|---|
LBN Legal business name | Eli, Bradley A |
Credentials | DMD, MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2006 |
Last updated | Jul 7th, 2022 - 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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