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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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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