Wilson, Bradley Craig

Wilson, Bradley Craig is an individual health care provider with primary practice located at 2807 Montclair Ave , Pascagoula MS 39567-5287. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Wilson, Bradley Craig can be contacted via phone (910) 382-5414.

Contact Information

Primary practice address
2807 Montclair Ave Pascagoula MS 39567-5287
Phone: (910) 382-5414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1235519984
LBN Legal business name Wilson, Bradley Craig
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2015
Last updated Jun 8th, 2015 - about 9 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.

Request for update

Popular Providers