Bradley, Krisan

Bradley, Krisan is an individual health care provider with primary practice located at 25 Boston Post Rd , Orange CT 06477-3203. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Bradley, Krisan can be contacted via phone (203) 859-3695.

Contact Information

Primary practice address
25 Boston Post Rd Orange CT 06477-3203
Phone: (203) 859-3695
Fax: (203) 937-2536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X PTN.0012061 Connecticut

Profile Details

NPI number 1487045860
LBN Legal business name Bradley, Krisan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2015
Last updated Feb 6th, 2015 - about 11 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 1487045860 NPPES
Connecticut Other PTN.0012061 PHARMACY TECHNICIAN

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