Ellis, Bradley Wade
Ellis, Bradley Wade is an individual health care provider with primary practice located at 4820 Newberry Road , Gainesville FL 32607. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ellis, Bradley Wade can be contacted via phone (352) 373-2116.Contact Information
Primary practice address
4820 Newberry Road
Gainesville FL 32607
Phone: (352) 373-2116
Fax: (352) 373-1507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA19813 | Florida |
Profile Details
NPI number | 1639215031 |
---|---|
LBN Legal business name | Ellis, Bradley Wade |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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