Mongold, Bradley Wayne
Mongold, Bradley Wayne is an individual health care provider with primary practice located at 2500 Hospital Drive , Martinsburg WV 25401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mongold, Bradley Wayne can be contacted via phone (304) 264-1000.Contact Information
Primary practice address
2500 Hospital Drive
Martinsburg WV 25401
Phone: (304) 264-1000
Fax: (304) 254-1374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 21986 | Nevada |
Profile Details
| NPI number | 1215010863 |
|---|---|
| LBN Legal business name | Mongold, Bradley Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Mar 29th, 2010 - about 14 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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