Roe, Bradley

Roe, Bradley is an individual health care provider with primary practice located at 514 S Brown St , Springfield TN 37172-2937. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Roe, Bradley can be contacted via phone (615) 988-4552.

Contact Information

Primary practice address
514 S Brown St Springfield TN 37172-2937
Phone: (615) 988-4552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 13844 Tennessee

Profile Details

NPI number 1487320180
LBN Legal business name Roe, Bradley
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2021
Last updated Aug 22nd, 2021 - about 4 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 1487320180 NPPES
Tennessee Other 13844 STATE LICENSE

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