Bradley, Colleen
Bradley, Colleen is an sole proprietor health care provider with primary practice located at 2734 Beaver Run Blvd Unit D , Surfside Beach SC 29575-5392. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bradley, Colleen can be contacted via phone (469) 353-4042.Contact Information
Primary practice address
2734 Beaver Run Blvd Unit D
Surfside Beach SC 29575-5392
Phone: (469) 353-4042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3360 | South Carolina |
Profile Details
| NPI number | 1255995411 |
|---|---|
| LBN Legal business name | Bradley, Colleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2019 |
| Last updated | Feb 6th, 2023 - 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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