Bradham, David L

Bradham, David L is an individual health care provider with primary practice located at 407-K East Jackson Blvd , Erwin NC 28339-9628. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bradham, David L can be contacted via phone (910) 892-1119.

Contact Information

Primary practice address
407-K East Jackson Blvd Erwin NC 28339-9628
Phone: (910) 892-1119
Fax: (910) 892-1614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2481 North Carolina

Profile Details

NPI number 1447251533
LBN Legal business name Bradham, David L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 19 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 1447251533 NPPES
North Carolina Other 0830T BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 8902671 BLUE CROSS BLUE SHIELD

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