Welch, Bradley Wayne

Welch, Bradley Wayne is an sole proprietor health care provider with primary practice located at 720 N Commerce St # 226 , Ardmore OK 73401-3915. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography. Technologists, Technicians & Other Technical Service Providers / Sonography is his primary health care specialty. Welch, Bradley Wayne can be contacted via phone (580) 223-4770.

Contact Information

Primary practice address
720 N Commerce St # 226 Ardmore OK 73401-3915
Fax: (580) 223-4899
Website:

Profile Details

NPI number 1235235110
LBN Legal business name Welch, Bradley Wayne
Credentials BS, RVT, RDCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1235235110 NPPES
Oklahoma Other 731512719001 BLUECROSS BLUESHIELD

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