Ralston, Bradley R

Ralston, Bradley R is an individual health care provider with primary practice located at 9302 N Meridian St Ste 299, Indianapolis IN 46260-1842. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Neurology, Chiropractic Providers / Chiropractor. Chiropractic Providers / Neurology is his primary health care specialty. Ralston, Bradley R can be contacted via phone (317) 848-6000.

Contact Information

Primary practice address
9302 N Meridian St Ste 299 Indianapolis IN 46260-1842
Phone: (317) 848-6000
Fax: (317) 848-6000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 08001899A Indiana
Chiropractic Providers / Chiropractor 111N00000X 08001899A Indiana

Profile Details

NPI number 1912945536
LBN Legal business name Ralston, Bradley R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Sep 27th, 2016 - about 8 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 1912945536 NPPES
Other 000000198956 BLUE CROSS/BLUE SHIELD
MEDICAID 200363370A BLUE CROSS/BLUE SHIELD

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