Oliver, Bradley

Oliver, Bradley is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave #5607 North Building, Peoria IL 61637-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Oliver, Bradley can be contacted via phone (309) 655-3863.

Contact Information

Primary practice address
530 Ne Glen Oak Ave #5607 North Building Peoria IL 61637-0001
Phone: (309) 655-3863
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125065833 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125065833 Illinois

Profile Details

NPI number 1598170730
LBN Legal business name Oliver, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2014
Last updated Jun 26th, 2014 - about 12 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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