Johnson, Bradford

Johnson, Bradford is an individual health care provider with primary practice located at 801 S Paulina St Mc 621, Chicago IL 60612-7210. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Johnson, Bradford can be contacted via phone (312) 355-1661.

Contact Information

Primary practice address
801 S Paulina St Mc 621 Chicago IL 60612-7210
Phone: (312) 355-1661
Fax: (312) 355-3864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X Illinois

Profile Details

NPI number 1164644647
LBN Legal business name Johnson, Bradford
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
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.

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