Dewitt, Bradford Joseph

Dewitt, Bradford Joseph is an sole proprietor health care provider with primary practice located at 15465 Oak Ln Ste 100B , Gulfport MS 39503-2663. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dewitt, Bradford Joseph can be contacted via phone (228) 832-0846.

Contact Information

Primary practice address
15465 Oak Ln Ste 100B Gulfport MS 39503-2663
Fax: (228) 832-0856
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1145 Mississippi

Profile Details

NPI number 1013151638
LBN Legal business name Dewitt, Bradford Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2009
Last updated Apr 27th, 2009 - about 17 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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