Perry, Bradley Dale

Perry, Bradley Dale is an sole proprietor health care provider with primary practice located at 60 S Stewart Rd , Corbin KY 40701-4675. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Perry, Bradley Dale can be contacted via phone (606) 523-5855.

Contact Information

Primary practice address
60 S Stewart Rd Corbin KY 40701-4675
Fax: (606) 523-5596
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 174344 Kentucky

Profile Details

NPI number 1164154480
LBN Legal business name Perry, Bradley Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2022
Last updated Jun 27th, 2022 - about 2 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.

Request for update

Popular Providers