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Contact Information

BRADLEY J ALLIS, IDC
10229 BORDELON ST
SAN DIEGO, CA92124-3206
 Phone: 209-401-0915
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for BRADLEY J ALLIS · (Male)

NPI # 1881167963
Status Active
Credentials IDC
Entity Individual
Enumeration date 01/10/2019
Last updated 07/08/2024 - More than a year 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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