Henry, Bradley D

Henry, Bradley D is an individual health care provider with primary practice located at 600 Morris St Suite 102, Charleston WV 25301-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Henry, Bradley D can be contacted via phone (304) 388-7130.

Contact Information

Primary practice address
600 Morris St Suite 102 Charleston WV 25301-1409
Phone: (304) 388-7130
Fax: (304) 388-7136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17873 West Virginia

Profile Details

NPI number 1679573786
LBN Legal business name Henry, Bradley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 15th, 2010 - about 14 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 1679573786 NPPES
West Virginia MEDICAID 0077299-000

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