Witherell, Bradley Michael

Witherell, Bradley Michael is an sole proprietor health care provider with primary practice located at 34101 Building 14, Farenholt Avenue , San Diego CA 92134-0001. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Witherell, Bradley Michael can be contacted via phone (985) 855-1160.

Contact Information

Primary practice address
34101 Building 14, Farenholt Avenue San Diego CA 92134-0001
Phone: (985) 855-1160
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1487161816
LBN Legal business name Witherell, Bradley Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2018
Last updated Jan 8th, 2018 - about 6 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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