Roberts, Bradley Wane
Roberts, Bradley Wane is an sole proprietor health care provider with primary practice located at 4 Professional Dr , Alton IL 62002-5067. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Roberts, Bradley Wane can be contacted via phone (618) 465-9000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 019019769 | Illinois |
Profile Details
| NPI number | 1497074025 |
|---|---|
| LBN Legal business name | Roberts, Bradley Wane |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2010 |
| Last updated | May 21st, 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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