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
Phone: (304) 399-6727
Fax: (304) 399-6726
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881150035 | NPPES |
| Ohio | MEDICAID | 0000061 | |
| Ohio | MEDICAID | 7100840490 | |
| Ohio | Other | WVD438A | |
| Ohio | MEDICAID | 1881150035 | |
| Ohio | Other | 004995730 |
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