Bliss, Bradley

Bliss, Bradley is an sole proprietor health care provider with primary practice located at 14477 Caberfae Hwy , Wellston MI 49689-9315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bliss, Bradley can be contacted via phone (231) 848-4777.

Contact Information

Primary practice address
14477 Caberfae Hwy Wellston MI 49689-9315
Phone: (231) 848-4777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601007455 Michigan

Profile Details

NPI number 1114014180
LBN Legal business name Bliss, Bradley
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114014180 NPPES
Michigan Other 5601001299 MICHIGAN PAC LICENSE

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