Jenkins, Bradley Paul

Jenkins, Bradley Paul is an individual health care provider with primary practice located at 1430 Som Center Rd Ste 1 , Mayfield Heights OH 44124-2123. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jenkins, Bradley Paul can be contacted via phone (440) 442-7111.

Contact Information

Primary practice address
1430 Som Center Rd Ste 1 Mayfield Heights OH 44124-2123
Phone: (440) 442-7111
Fax: (440) 460-1767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X OH-8844 Ohio

Profile Details

NPI number 1629035233
LBN Legal business name Jenkins, Bradley Paul
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 1st, 2020 - about 4 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 1629035233 NPPES
Ohio MEDICAID 2361779

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