Bradley, Michelle Lea

Bradley, Michelle Lea is an individual health care provider with primary practice located at 25311 Little Mack Ave Suite B, Saint Clair Shores MI 48081-3301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Bradley, Michelle Lea can be contacted via phone (586) 498-2400.

Contact Information

Primary practice address
25311 Little Mack Ave Suite B Saint Clair Shores MI 48081-3301
Phone: (586) 498-2400
Fax: (586) 498-2800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5101012404 Michigan

Profile Details

NPI number 1366477572
LBN Legal business name Bradley, Michelle Lea
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 21st, 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 1366477572 NPPES
Michigan MEDICAID 1366477572

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