Glenn Robert Bradley in Elizabeth - Chiropractor
Glenn Robert Bradley - NPI 1538373170
Glenn Robert Bradley is a Chiropractor in Elizabeth, New Jersey. Glenn Robert Bradley practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Glenn Robert Bradley is 1538373170. The last update date is 2007-07-08.
Glenn Robert Bradley's current location address is 909 Elizabeth Ave, Elizabeth, New Jersey. You can contact this provider via phone number 9086290779 and fax number 9086290804. The mailing address for Glenn Robert Bradley is 909 Elizabeth Ave, Elizabeth, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Robert Bradley |
|---|---|
| Address | 909 Elizabeth Ave, Elizabeth, New Jersey |
| Phone Number | 9086290779 |
| Fax Number | 9086290804 |
| Sole Proprietor | N |
| Credentials | D.C |
NPI Number Detail
| NPI Number | 1538373170 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 909 Elizabeth Ave |
|---|---|
| City | Elizabeth |
| State | New Jersey (NJ) |
| Post Code | 72012710 |
| Phone Number | 9086290779 |
| Fax Number | 9086290804 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38MC00547600 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Glenn Robert Bradley?
The Glenn Robert Bradley has been issued the NPI (National Provider Identifier) 1538373170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Glenn Robert Bradley?
The Glenn Robert Bradley is physically situated at 909 Elizabeth Ave, in the city of Elizabeth, state of NJ, with the postal code 72012710.
What is the Glenn Robert Bradley's specialty and taxonomy code?
The Glenn Robert Bradley's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1538373170 to Glenn Robert Bradley?
The Centers for Medicare & Medicaid Services assigned the 1538373170 to Glenn Robert Bradley on 2007-05-10.
As of what date were the details pertaining to Glenn Robert Bradley last refreshed?
The information related to the Glenn Robert Bradley, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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