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Contact Information

MARC BRADLEY, DC
111 ELM STREET
WEBER CITY, VA24290
 Phone: 276-386-7778
 Fax: 276-386-7857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARC BRADLEY · (Male)

NPI # 1861598211
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 09/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0104556003
  • TN Medicaid 4047000
  • VA Other 7647380 AETNA
  • VA Other 175344 BLUE CROSS/BLUE SHIELD
  • VA Other VA0104 JOHN DEERE
Hospital affiliation(s) Not Available
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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