Louis, Bradley Edward

Louis, Bradley Edward is an sole proprietor health care provider with primary practice located at 2500 N State St # S139-01 , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Louis, Bradley Edward can be contacted via phone (601) 815-8489.

Contact Information

Primary practice address
2500 N State St # S139-01 Jackson MS 39216-4500
Phone: (601) 815-8489
Fax: (601) 984-2086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T-5122 Mississippi

Profile Details

NPI number 1598450660
LBN Legal business name Louis, Bradley Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2023
Last updated Aug 21st, 2023 - about 3 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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