Individual
BRADLEY BENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 262-8309
Mailing address
1522 HANNUM DR, STREETSBORO, OH 44241-5194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28219614A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28219614A
INDIANA BOARD OF NURSING
IN
Enumeration date
06/10/2020
Last updated
06/10/2020
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