Neville, Brad Wesley

Neville, Brad Wesley is an sole proprietor health care provider with primary practice located at 173 Ashley Ave Room 544 Bsb, Division Of Oral Pathology, Musc, Charleston SC 29425-5070. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Neville, Brad Wesley can be contacted via phone (843) 792-4495.

Contact Information

Primary practice address
173 Ashley Ave Room 544 Bsb, Division Of Oral Pathology, Musc Charleston SC 29425-5070
Phone: (843) 792-4495
Fax: (843) 792-3697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 2375 South Carolina

Profile Details

NPI number 1275614828
LBN Legal business name Neville, Brad Wesley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Nov 3rd, 2011 - about 13 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 1275614828 NPPES
South Carolina MEDICAID 002375

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