Bradley, Eboni Gwendolyn

Bradley, Eboni Gwendolyn is an sole proprietor health care provider with primary practice located at 24100 Southfield Rd Ste 335E , Southfield MI 48075-2819. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Bradley, Eboni Gwendolyn can be contacted via phone (248) 262-7372.

Contact Information

Primary practice address
24100 Southfield Rd Ste 335E Southfield MI 48075-2819
Phone: (248) 262-7372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1891402277
LBN Legal business name Bradley, Eboni Gwendolyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2022
Last updated Nov 3rd, 2022 - about 4 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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