Buckrop, Bradley William

Buckrop, Bradley William is an individual health care provider with primary practice located at 3727 46Th Avenue Blackhawk Rd Ste 103, Rock Island IL 61201-7078. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Buckrop, Bradley William can be contacted via phone (309) 788-3668.

Contact Information

Primary practice address
3727 46Th Avenue Blackhawk Rd Ste 103 Rock Island IL 61201-7078
Phone: (309) 788-3668
Fax: (309) 786-5168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016004658 Illinois
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 00545 Iowa

Profile Details

NPI number 1558476739
LBN Legal business name Buckrop, Bradley William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 2023 - about 2 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 1558476739 NPPES
Illinois Other IL0101 JOHN DEERE HEALTH
Illinois Other 8182069 JOHN DEERE HEALTH
Illinois Other 00545 JOHN DEERE HEALTH
Illinois MEDICAID 016004658 JOHN DEERE HEALTH
Illinois Other 480024844 JOHN DEERE HEALTH

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