Bradley, Chadwyck R
Bradley, Chadwyck R is an individual health care provider with primary practice located at 2050 A Second Street Se , Kirtland Afb NM 87117-5153. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bradley, Chadwyck R can be contacted via phone (505) 846-3027.Contact Information
Primary practice address
2050 A Second Street Se
Kirtland Afb NM 87117-5153
Phone: (505) 846-3027
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 58624 | California |
| Dental Providers / Dentist | 122300000X | D7651 | Arizona |
| Dental Providers / Dentist | 122300000X | DD3940 | New Mexico |
Profile Details
| NPI number | 1679721054 |
|---|---|
| LBN Legal business name | Bradley, Chadwyck R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2008 |
| Last updated | Mar 26th, 2021 - about 5 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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