Fairman, Bradley Garrett
Fairman, Bradley Garrett is an individual health care provider with primary practice located at 537 Main St , Berlin PA 15530-1344. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fairman, Bradley Garrett can be contacted via phone (814) 267-6440.Contact Information
Primary practice address
537 Main St
Berlin PA 15530-1344
Phone: (814) 267-6440
Fax: (814) 267-6442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC009285 | Pennsylvania |
Profile Details
| NPI number | 1104956986 |
|---|---|
| LBN Legal business name | Fairman, Bradley Garrett |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Oct 9th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104956986 | NPPES |
| Pennsylvania | Other | 001666144 | HIGHMARK PROVIDER ID |
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