Nelson, Bradley J.

Nelson, Bradley J. is an sole proprietor health care provider with primary practice located at 363 5Th Ave N , Bayport MN 55003-1232. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nelson, Bradley J. can be contacted via phone (651) 439-4115.

Contact Information

Primary practice address
363 5Th Ave N Bayport MN 55003-1232
Phone: (651) 439-4115
Fax: (651) 439-4093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9832 Minnesota

Profile Details

NPI number 1154330918
LBN Legal business name Nelson, Bradley J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 19 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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