Randolph, Bradley A
Randolph, Bradley A is an individual health care provider with primary practice located at 320 N 3Rd St Ste 711, Burlington IA 52601-5308. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Randolph, Bradley A can be contacted via phone (319) 753-1600.Contact Information
Primary practice address
320 N 3Rd St Ste 711
Burlington IA 52601-5308
Phone: (319) 753-1600
Fax: (319) 752-9453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 07810 | Iowa |
Profile Details
| NPI number | 1497757546 |
|---|---|
| LBN Legal business name | Randolph, Bradley A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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