Watt, Bradley George

Watt, Bradley George is an individual health care provider with primary practice located at 2255 N. Wickham Rd. #109 , Melbourne FL 32935. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Watt, Bradley George can be contacted via phone (321) 253-8511.

Contact Information

Primary practice address
2255 N. Wickham Rd. #109 Melbourne FL 32935
Phone: (321) 253-8511
Fax: (321) 253-8711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8029 Florida

Profile Details

NPI number 1548243702
LBN Legal business name Watt, Bradley George
Credentials B.S., D.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Oct 20th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548243702 NPPES
Florida MEDICAID 381334700

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