Greenblott, Bradley
Greenblott, Bradley is an sole proprietor health care provider with primary practice located at 20 Buckeye , Portola Valley CA 94028-8015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Greenblott, Bradley can be contacted via phone (650) 851-1646.Contact Information
Primary practice address
20 Buckeye
Portola Valley CA 94028-8015
Phone: (650) 851-1646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | GFE 26685 | California |
Profile Details
| NPI number | 1114299864 |
|---|---|
| LBN Legal business name | Greenblott, Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2012 |
| Last updated | Jan 26th, 2012 - about 14 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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