Bradley, Ronald H

Bradley, Ronald H is an individual health care provider with primary practice located at 1000 Houghton Ave , Saginaw MI 48602-5303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bradley, Ronald H can be contacted via phone (989) 583-6830.

Contact Information

Primary practice address
1000 Houghton Ave Saginaw MI 48602-5303
Phone: (989) 583-6830
Fax: (989) 583-6994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X RB009024 Michigan

Profile Details

NPI number 1568408615
LBN Legal business name Bradley, Ronald H
Credentials DO PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Nov 14th, 2013 - about 11 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 1568408615 NPPES
Michigan Other 2753324064 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 2905346 BLUE CROSS BLUE SHIELD
Michigan Other 15-21053 BLUE CROSS BLUE SHIELD

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