Bradley, David A.

Bradley, David A. is an sole proprietor health care provider with primary practice located at 1160 Live Oak Blvd , Yuba City CA 95991-3407. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bradley, David A. can be contacted via phone (530) 673-8440.

Contact Information

Primary practice address
1160 Live Oak Blvd Yuba City CA 95991-3407
Phone: (530) 673-8440
Fax: (530) 673-0177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7747T California

Profile Details

NPI number 1275504391
LBN Legal business name Bradley, David A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Apr 18th, 2014 - about 12 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 1275504391 NPPES
California MEDICAID SD0077470

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