Large, Bradley P

Large, Bradley P is an sole proprietor health care provider with primary practice located at 975 E 3Rd St , Chattanooga TN 37403-2103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Large, Bradley P can be contacted via phone (423) 266-1490.

Contact Information

Primary practice address
975 E 3Rd St Chattanooga TN 37403-2103
Phone: (423) 266-1490
Fax: (423) 778-2108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34770 Tennessee

Profile Details

NPI number 1396719753
LBN Legal business name Large, Bradley P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Sep 10th, 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 1396719753 NPPES
Tennessee Other 1396719753 NPI
Tennessee Other 4160436 NPI
Tennessee Other 38650821 NPI

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