Mcbeth, Bradley Glenn

Mcbeth, Bradley Glenn is an individual health care provider with primary practice located at 411 Dr. Martin Luther King Jr. Drive , Peoria IL 61605-2400. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mcbeth, Bradley Glenn can be contacted via phone (309) 497-0790.

Contact Information

Primary practice address
411 Dr. Martin Luther King Jr. Drive Peoria IL 61605-2400
Phone: (309) 497-0790
Fax: (309) 497-3567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0051039895 Illinois

Profile Details

NPI number 1932117686
LBN Legal business name Mcbeth, Bradley Glenn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
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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