Killebrew, Bradley James
Killebrew, Bradley James is an individual health care provider with primary practice located at 1116 S Purpera Ave , Gonzales LA 70737-4361. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Killebrew, Bradley James can be contacted via phone (225) 647-3577.Contact Information
Primary practice address
1116 S Purpera Ave
Gonzales LA 70737-4361
Phone: (225) 647-3577
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6746 | Louisiana |
Profile Details
| NPI number | 1902334600 |
|---|---|
| LBN Legal business name | Killebrew, Bradley James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2017 |
| Last updated | May 25th, 2017 - about 9 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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