Ellis, Bradley Charles

Ellis, Bradley Charles is an individual health care provider with primary practice located at 45 E River Park Pl W Ste 507 , Fresno CA 93720-1565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellis, Bradley Charles can be contacted via phone (559) 603-7378.

Contact Information

Primary practice address
45 E River Park Pl W Ste 507 Fresno CA 93720-1565
Phone: (559) 603-7378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A107115 California

Profile Details

NPI number 1831164607
LBN Legal business name Ellis, Bradley Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 10th, 2024 - about 2 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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