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
Fax: (760) 436-5123
Website:

Health care specialties

SpecialtyCodeLicense #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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