Thomas, Bradley Glynn

Thomas, Bradley Glynn is an individual health care provider with primary practice located at 4003 Kresge Way Ste 300 , Louisville KY 40207-4652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Thomas, Bradley Glynn can be contacted via phone (502) 897-5139.

Contact Information

Primary practice address
4003 Kresge Way Ste 300 Louisville KY 40207-4652
Phone: (502) 897-5139
Fax: (502) 896-6218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 42724 Kentucky

Profile Details

NPI number 1104933720
LBN Legal business name Thomas, Bradley Glynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 1st, 2024 - about 9 months 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 1104933720 NPPES
Indiana Other 01062396A STATE LICENSE
Indiana Other 42724 STATE LICENSE

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