Bradley, Ellen

Bradley, Ellen is an sole proprietor health care provider with primary practice located at 3511 W Market St Ste B , Greensboro NC 27403-4442. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Bradley, Ellen can be contacted via phone (336) 294-3338.

Contact Information

Primary practice address
3511 W Market St Ste B Greensboro NC 27403-4442
Phone: (336) 294-3338
Fax: (336) 294-6696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1720330145
LBN Legal business name Bradley, Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2012
Last updated Oct 9th, 2012 - about 14 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 1720330145 NPPES
North Carolina MEDICAID 8300082K

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