Simon, Bradley I
Simon, Bradley I is an sole proprietor health care provider with primary practice located at 8771 Nw 50Th St , Lauderhill FL 33351-5403. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Simon, Bradley I can be contacted via phone (954) 688-3440.Contact Information
Primary practice address
8771 Nw 50Th St
Lauderhill FL 33351-5403
Phone: (954) 688-3440
Fax: (954) 323-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH8265 | Florida |
Profile Details
| NPI number | 1720059959 |
|---|---|
| LBN Legal business name | Simon, Bradley I |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jul 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720059959 | NPPES |
| Florida | MEDICAID | 3819302 |
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