Bradley, Jonathan F.

Bradley, Jonathan F. is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bradley, Jonathan F. can be contacted via phone (517) 788-4800.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 788-4800
Fax: (517) 796-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01081482A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301074228 Michigan

Profile Details

NPI number 1063463552
LBN Legal business name Bradley, Jonathan F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 13th, 2022 - about 3 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 1063463552 NPPES
Michigan MEDICAID 104866256
Michigan Other P00315403

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