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Contact Information

MARK BRADLEY, D.C.
507 SHELBURNE RD
BURLINGTON, VT05401-5008
 Phone: 802-864-5150
 Fax: 802-860-0668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARK BRADLEY · (Male)

NPI # 1982775391
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/10/2006
Last updated 10/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 816
  • VT Other 5962 BCBSVT
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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