Daigle, Bradley Allan

Daigle, Bradley Allan is an sole proprietor health care provider with primary practice located at 473 Majestic Pines Drive , Mammoth Lakes CA 93546-2738. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Daigle, Bradley Allan can be contacted via phone (760) 934-1694.

Contact Information

Primary practice address
473 Majestic Pines Drive Mammoth Lakes CA 93546-2738
Phone: (760) 934-1694
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X G26243 California

Profile Details

NPI number 1871658500
LBN Legal business name Daigle, Bradley Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Mar 6th, 2013 - about 13 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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