Bradley, Michael Jack
Bradley, Michael Jack is an sole proprietor health care provider with primary practice located at 6551 Harris Pkwy Ste 205, Fort Worth TX 76132-6103. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bradley, Michael Jack can be contacted via phone (817) 370-6118.Contact Information
Primary practice address
6551 Harris Pkwy Ste 205
Fort Worth TX 76132-6103
Phone: (817) 370-6118
Fax: (817) 370-7118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | R0166 | Texas |
Profile Details
| NPI number | 1407907348 |
|---|---|
| LBN Legal business name | Bradley, Michael Jack |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jan 25th, 2008 - about 17 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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