Powell, Bradley B

Powell, Bradley B is an individual health care provider with primary practice located at 24582 Del Prado Ste H, Dana Point CA 92629-3821. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Powell, Bradley B can be contacted via phone (949) 487-2722.

Contact Information

Primary practice address
24582 Del Prado Ste H Dana Point CA 92629-3821
Phone: (949) 487-2722
Fax: (949) 487-2723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC27515 California

Profile Details

NPI number 1992709927
LBN Legal business name Powell, Bradley B
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1992709927 NPPES
California Other DC0275150 BLUE SHIELD

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