Bradshaw, Michael T

Bradshaw, Michael T is an individual health care provider with primary practice located at 1001 Wellington Ave , Grand Junction CO 81501-8122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bradshaw, Michael T can be contacted via phone (970) 243-0900.

Contact Information

Primary practice address
1001 Wellington Ave Grand Junction CO 81501-8122
Phone: (970) 243-0900
Fax: (970) 245-4235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32391 Colorado

Profile Details

NPI number 1821101031
LBN Legal business name Bradshaw, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 13th, 2012 - about 12 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 1821101031 NPPES
Colorado MEDICAID 01323914

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