Mccormack, Bradley L

Mccormack, Bradley L is an sole proprietor health care provider with primary practice located at 34155 Center Ridge Rd , North Ridgeville OH 44039-3221. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mccormack, Bradley L can be contacted via phone (440) 327-7950.

Contact Information

Primary practice address
34155 Center Ridge Rd North Ridgeville OH 44039-3221
Phone: (440) 327-7950
Fax: (440) 327-1825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21626 Ohio

Profile Details

NPI number 1215117866
LBN Legal business name Mccormack, Bradley L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2007
Last updated Jul 18th, 2016 - about 9 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 1215117866 NPPES
Ohio MEDICAID 3159282

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