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
Fax: (814) 267-6442
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104956986 NPPES
Pennsylvania Other 001666144 HIGHMARK PROVIDER ID

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