Provider Demographics
NPI:1033432398
Name:FRANKLIN, BRADLEY AARON (DR BRADLEY FRANKLIN)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:AARON
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:DR BRADLEY FRANKLIN
Other - Prefix:DR
Other - First Name:BRADLEY
Other - Middle Name:AARON
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:9220 RIDGETOP BLVD NW STE 100
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8556
Mailing Address - Country:US
Mailing Address - Phone:360-516-6989
Mailing Address - Fax:360-308-0937
Practice Address - Street 1:9220 RIDGETOP BLVD NW STE 100
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8556
Practice Address - Country:US
Practice Address - Phone:360-516-6989
Practice Address - Fax:360-308-0937
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60126574111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA271399373OtherTAX ID
WA1942539739OtherNPI TYPE 2 ID