Bradley, Benjamin T.
Bradley, Benjamin T. is an individual health care provider with primary practice located at 15 N Medical Dr Ste 1100 , Salt Lake City UT 84112-1100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Medical Microbiology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Bradley, Benjamin T. can be contacted via phone (801) 583-2787.Contact Information
Primary practice address
15 N Medical Dr Ste 1100
Salt Lake City UT 84112-1100
Phone: (801) 583-2787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 12093950-1205 | Utah |
| Allopathic & Osteopathic Physicians / Medical Microbiology | 207ZM0300X | 12093950-1205 | Utah |
Profile Details
| NPI number | 1912431941 |
|---|---|
| LBN Legal business name | Bradley, Benjamin T. |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2017 |
| Last updated | Apr 14th, 2022 - about 3 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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