Gallimore, Bradley Ivan

Gallimore, Bradley Ivan is an individual health care provider with primary practice located at 650 Sewall St Naval Air Station, Brunswick ME 04011-5011. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gallimore, Bradley Ivan can be contacted via phone (207) 921-1621.

Contact Information

Primary practice address
650 Sewall St Naval Air Station Brunswick ME 04011-5011
Phone: (207) 921-1621
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1780702944
LBN Legal business name Gallimore, Bradley Ivan
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 17 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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