Vergien, Bradley
Vergien, Bradley is an sole proprietor health care provider with primary practice located at 1421 Us 491 , Gallup NM 87301. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Vergien, Bradley can be contacted via phone (505) 863-8000.Contact Information
Primary practice address
1421 Us 491
Gallup NM 87301
Phone: (505) 863-8000
Fax: (505) 863-8700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD1926 | New Mexico |
| Dental Providers / Dentist | 122300000X | D3565 | Arizona |
| Dental Providers / Dentist | 122300000X | 145124-9921 | Utah |
| Dental Providers / Dentist | 122300000X | 759 | Alaska |
Profile Details
| NPI number | 1790841765 |
|---|---|
| LBN Legal business name | Vergien, Bradley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | May 20th, 2010 - about 15 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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