Bradbury, Michael J
Bradbury, Michael J is an individual health care provider with primary practice located at 63 Lincoln St , Worcester MA 01605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bradbury, Michael J can be contacted via phone (508) 791-1217.Contact Information
Primary practice address
63 Lincoln St
Worcester MA 01605
Phone: (508) 791-1217
Fax: (508) 831-0517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 36753 | Massachusetts |
Profile Details
| NPI number | 1407915341 |
|---|---|
| LBN Legal business name | Bradbury, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407915341 | NPPES |
| Massachusetts | MEDICAID | 9745742 | |
| Massachusetts | Other | M14079 |
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