Bradley, Marly
Bradley, Marly is an individual health care provider with primary practice located at 702 Barnhill Dr , Indianapolis IN 46202-5128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Bradley, Marly can be contacted via phone (317) 274-3936.Contact Information
Primary practice address
702 Barnhill Dr
Indianapolis IN 46202-5128
Phone: (317) 274-3936
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 01052950 | Indiana |
Profile Details
| NPI number | 1437171600 |
|---|---|
| LBN Legal business name | Bradley, Marly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1437171600 | NPPES |
| Indiana | MEDICAID | 200281390 |
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