Bradley, Marc
Bradley, Marc is an sole proprietor health care provider with primary practice located at 111 Elm Street , Weber City VA 24290. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bradley, Marc can be contacted via phone (276) 386-7778.Contact Information
Primary practice address
111 Elm Street
Weber City VA 24290
Phone: (276) 386-7778
Fax: (276) 386-7857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0104556003 | Virginia |
Profile Details
| NPI number | 1861598211 |
|---|---|
| LBN Legal business name | Bradley, Marc |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861598211 | NPPES |
| Virginia | Other | 7647380 | AETNA |
| Virginia | Other | VA0104 | AETNA |
| Virginia | Other | 175344 | AETNA |
| Virginia | MEDICAID | 4047000 | AETNA |
Popular Providers
-
Mcclure, Robert L
2950 Dale Blvd , Dale City VA 22193-1120 -
Manolov, Manol
6905 E 96Th St Suite 600, Indianapolis IN 46250-4448 -
Wright, Don P
13746 Victory Blvd 201, Van Nuys CA 91401-6716 -
Lampa, Marc Fernandez
2950 Dale Blvd , Dale City VA 22193-1120 -
Volschke, Darrell
201 Centre Dr Ste 102 , Stephens City VA 22655-4073 -
Reschke, Gretchen
201 Centre Dr Ste 102 , Stephens City VA 22655-4073 -
Knowles, Carol Donahue
3200 Northline Ave Ste 200, Greensboro NC 27408-7616 -
Weinberg, Ross
12801 Darby Brook Ct Ste 102 , Woodbridge VA 22192-2497