Davis, Bradley

Davis, Bradley is an individual health care provider with primary practice located at 3601 W 13 Mile Rd Ec, Royal Oak MI 48073-6712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davis, Bradley can be contacted via phone (248) 898-5000.

Contact Information

Primary practice address
3601 W 13 Mile Rd Ec Royal Oak MI 48073-6712
Phone: (248) 898-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301078282 Michigan

Profile Details

NPI number 1114986734
LBN Legal business name Davis, Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114986734 NPPES
Michigan MEDICAID 4638466

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