Newberry, Bradley Michael
Newberry, Bradley Michael is an sole proprietor health care provider with primary practice located at 4350 S National Ave , Springfield MO 65810-2607. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Newberry, Bradley Michael can be contacted via phone (417) 883-7668.Contact Information
Primary practice address
4350 S National Ave
Springfield MO 65810-2607
Phone: (417) 883-7668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 2002013211 | Missouri |
Profile Details
| NPI number | 1922290725 |
|---|---|
| LBN Legal business name | Newberry, Bradley Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Aug 15th, 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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