Libby, Bradley

Libby, Bradley is an individual health care provider with primary practice located at 797 Wilson St , Brewer ME 04412-1000. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Libby, Bradley can be contacted via phone (207) 992-4042.

Contact Information

Primary practice address
797 Wilson St Brewer ME 04412-1000
Phone: (207) 992-4042
Fax: (207) 992-4043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT4035 Maine

Profile Details

NPI number 1932533262
LBN Legal business name Libby, Bradley
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2013
Last updated Aug 22nd, 2013 - about 12 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 1932533262 NPPES
Maine Other PT4035 PHYSICAL THERAPY LICENCE

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