Glenn, Bradley J

Glenn, Bradley J is an individual health care provider with primary practice located at 784 El Pintado Rd , Danville CA 94526-1407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Glenn, Bradley J can be contacted via phone (920) 562-6481.

Contact Information

Primary practice address
784 El Pintado Rd Danville CA 94526-1407
Phone: (920) 562-6481
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 47408 Wisconsin

Profile Details

NPI number 1699701680
LBN Legal business name Glenn, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 18th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699701680 NPPES
Wisconsin MEDICAID 34588100

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