Watt, Bradley George
Watt, Bradley George is an individual health care provider with primary practice located at 2255 N. Wickham Rd. #109 , Melbourne FL 32935. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Watt, Bradley George can be contacted via phone (321) 253-8511.Contact Information
Primary practice address
2255 N. Wickham Rd. #109
Melbourne FL 32935
Phone: (321) 253-8511
Fax: (321) 253-8711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH8029 | Florida |
Profile Details
| NPI number | 1548243702 |
|---|---|
| LBN Legal business name | Watt, Bradley George |
| Credentials | B.S., D.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Oct 20th, 2009 - about 17 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 | 1548243702 | NPPES |
| Florida | MEDICAID | 381334700 |
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