Willoughby, Cole Bradford

Willoughby, Cole Bradford is an individual health care provider with primary practice located at 319 F St Ste 102, Chula Vista CA 91910-2666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Willoughby, Cole Bradford can be contacted via phone (619) 476-1200.

Contact Information

Primary practice address
319 F St Ste 102 Chula Vista CA 91910-2666
Phone: (619) 476-1200
Fax: (619) 420-7849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X C36597 California

Profile Details

NPI number 1659375301
LBN Legal business name Willoughby, Cole Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 8th, 2007 - about 18 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 1659375301 NPPES
California MEDICAID 00C365970

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