Dillon, Bradley

Dillon, Bradley is an individual health care provider with primary practice located at 2601 Getwell Rd Ste 4 , Corinth MS 38834-6762. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Dillon, Bradley can be contacted via phone (662) 643-4533.

Contact Information

Primary practice address
2601 Getwell Rd Ste 4 Corinth MS 38834-6762
Phone: (662) 643-4533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 902456 Mississippi

Profile Details

NPI number 1184130692
LBN Legal business name Dillon, Bradley
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2017
Last updated May 16th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184130692 NPPES
Mississippi MEDICAID 01155847

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