Bradley, William A
Bradley, William A is an individual health care provider with primary practice located at 210 Cornelia St Suite 101, Plattsburgh NY 12901-2318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bradley, William A can be contacted via phone (518) 562-7990.Contact Information
Primary practice address
210 Cornelia St Suite 101
Plattsburgh NY 12901-2318
Phone: (518) 562-7990
Fax: (518) 562-7991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 7830 | New Hampshire |
Profile Details
| NPI number | 1720064637 |
|---|---|
| LBN Legal business name | Bradley, William A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Aug 3rd, 2011 - about 15 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 | 1720064637 | NPPES |
| New Hampshire | MEDICAID | 30002420 |
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