Bradford, Tyler Michael
Bradford, Tyler Michael is an sole proprietor health care provider with primary practice located at 3165 Myrtle Ave Ste 7 , Granite City IL 62040-5012. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bradford, Tyler Michael can be contacted via phone (618) 512-1234.Contact Information
Primary practice address
3165 Myrtle Ave Ste 7
Granite City IL 62040-5012
Phone: (618) 512-1234
Fax: (618) 512-1188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.010784 | Illinois |
Profile Details
| NPI number | 1891108957 |
|---|---|
| LBN Legal business name | Bradford, Tyler Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2014 |
| Last updated | Apr 12th, 2023 - about 2 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.
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