Free, Bradley R

Free, Bradley R is an individual health care provider with primary practice located at 2202 Locust Street , Sterling IL 61081. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Free, Bradley R can be contacted via phone (815) 625-3733.

Contact Information

Primary practice address
2202 Locust Street Sterling IL 61081
Phone: (815) 625-3733
Fax: (815) 625-3733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038008318 Illinois

Profile Details

NPI number 1780774109
LBN Legal business name Free, Bradley R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Aug 12th, 2011 - about 15 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 1780774109 NPPES
Other 020649979 TAX ID
Other 09832009 TAX ID

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