Bacanaya, Bradley Jude
Bacanaya, Bradley Jude is an sole proprietor health care provider with primary practice located at 1070 Clifton Ave Suite A1, Clifton NJ 07013-3619. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bacanaya, Bradley Jude can be contacted via phone (973) 246-6565.Contact Information
Primary practice address
1070 Clifton Ave Suite A1
Clifton NJ 07013-3619
Phone: (973) 246-6565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA01194900 | New Jersey |
Profile Details
| NPI number | 1558762088 |
|---|---|
| LBN Legal business name | Bacanaya, Bradley Jude |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2014 |
| Last updated | Jul 17th, 2016 - about 10 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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