King, Bradley

King, Bradley is an sole proprietor health care provider with primary practice located at 1340 Hal Greer Blvd , Huntington WV 25701-3804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. King, Bradley can be contacted via phone (304) 399-6727.

Contact Information

Primary practice address
1340 Hal Greer Blvd Huntington WV 25701-3804
Fax: (304) 399-6726
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 3734 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3734 West Virginia

Profile Details

NPI number 1881150035
LBN Legal business name King, Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2019
Last updated Oct 25th, 2022 - about 4 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 1881150035 NPPES
Ohio MEDICAID 0000061
Ohio MEDICAID 7100840490
Ohio Other WVD438A
Ohio MEDICAID 1881150035
Ohio Other 004995730

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