Evans, Bradley K.

Evans, Bradley K. is an individual health care provider with primary practice located at 110 S Madison St , Traverse City MI 49684-2340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Evans, Bradley K. can be contacted via phone (231) 935-0340.

Contact Information

Primary practice address
110 S Madison St Traverse City MI 49684-2340
Phone: (231) 935-0340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X BE062479 Michigan

Profile Details

NPI number 1255356523
LBN Legal business name Evans, Bradley K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 24th, 2020 - about 4 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 1255356523 NPPES
Michigan Other 1302845381 BLUE CROSS BLUE SHIELD OF MICHIGAN
Michigan MEDICAID 3067916 BLUE CROSS BLUE SHIELD OF MICHIGAN

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