Machara, Bradley M

Machara, Bradley M is an sole proprietor health care provider with primary practice located at 27 S Us Highway 17/92 Suite 2, Debary FL 32713-3356. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Machara, Bradley M can be contacted via phone (386) 753-1177.

Contact Information

Primary practice address
27 S Us Highway 17/92 Suite 2 Debary FL 32713-3356
Phone: (386) 753-1177
Fax: (386) 753-1115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0004170 Florida

Profile Details

NPI number 1679591432
LBN Legal business name Machara, Bradley M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Dec 7th, 2011 - about 15 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 1679591432 NPPES
Florida Other 22304 BLUE CROSS BLUE SHIELD
Florida Other 350055647 BLUE CROSS BLUE SHIELD

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