Perry, Bradley Carson

Perry, Bradley Carson is an individual health care provider with primary practice located at 95 Aviemore Dr , Pinehurst NC 28374-9797. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Perry, Bradley Carson can be contacted via phone (910) 295-4489.

Contact Information

Primary practice address
95 Aviemore Dr Pinehurst NC 28374-9797
Phone: (910) 295-4489
Fax: (910) 215-8035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X CPED3405 North Carolina

Profile Details

NPI number 1477867117
LBN Legal business name Perry, Bradley Carson
Credentials CPED
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2010
Last updated Aug 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477867117 NPPES
North Carolina MEDICAID 7700636

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