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Contact Information

JEANNA BRADLEY
1238 W MAIN ST
MASCOUTAH, IL62258-1060
 Phone: 618-328-8008
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for JEANNA BRADLEY · (Female)

NPI # 1376081281
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2017
Last updated 02/11/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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