Bradley, John S

Bradley, John S is an individual health care provider with primary practice located at 5900 Byron Center Sw Metro Health Hospital, Wyoming MI 49519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bradley, John S can be contacted via phone (616) 363-7123.

Contact Information

Primary practice address
5900 Byron Center Sw Metro Health Hospital Wyoming MI 49519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X JB075674 Michigan

Profile Details

NPI number 1033183066
LBN Legal business name Bradley, John S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 4th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033183066 NPPES
Michigan MEDICAID 4413279
Michigan Other JB075674

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