Gillespie, S Bradley
Gillespie, S Bradley is an individual health care provider with primary practice located at 13200 Se Mcgillivray , Vancouver WA 98683. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gillespie, S Bradley can be contacted via phone (360) 892-6132.Contact Information
Primary practice address
13200 Se Mcgillivray
Vancouver WA 98683
Phone: (360) 892-6132
Fax: (360) 892-0297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE8732 | Washington |
Profile Details
| NPI number | 1093875528 |
|---|---|
| LBN Legal business name | Gillespie, S Bradley |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093875528 | NPPES |
| Washington | Other | 5038690 | DSHS |
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