Gannon, Bradley Arthur
Gannon, Bradley Arthur is an individual health care provider with primary practice located at 2D Recon Bn 2D Marine Division , Camp Lejeune NC 28546. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gannon, Bradley Arthur can be contacted via phone (910) 440-7703.Contact Information
Primary practice address
2D Recon Bn 2D Marine Division
Camp Lejeune NC 28546
Phone: (910) 440-7703
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1013787357 |
|---|---|
| LBN Legal business name | Gannon, Bradley Arthur |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2024 |
| Last updated | Jan 8th, 2024 - about 10 months 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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