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NPI Lookup from the NPI Registry — National Provider Identifier Database

BRADLEY T JENNINGS, DPM – NPI #1396044038
Surgery, Foot & Ankle


Contact Information

BRADLEY T JENNINGS, DPM
248 NILES CORTLAND RD NE
WARREN, OH44484-1938
 Phone: 330-856-1700
 Fax: 330-856-5375
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Surgery, Foot & Ankle

213ES0103X
Indicates primary specialty
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NPI Information for BRADLEY T JENNINGS · (Male)

NPI Number 1396044038
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/21/2011
Last updated 08/20/2012 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
OH License # 36.003624
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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