Hoopingarner, Bradley R.

Hoopingarner, Bradley R. is an individual health care provider with primary practice located at 804 Service Rd # A110 , East Lansing MI 48824-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hoopingarner, Bradley R. can be contacted via phone (517) 353-3003.

Contact Information

Primary practice address
804 Service Rd # A110 East Lansing MI 48824-7015
Phone: (517) 353-3003
Fax: (517) 353-5514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101232756 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301074387 Michigan

Profile Details

NPI number 1063401594
LBN Legal business name Hoopingarner, Bradley R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Aug 19th, 2016 - about 8 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 1063401594 NPPES
Virginia Other 277534 BLUE CROSS
Virginia MEDICAID 1063401594 BLUE CROSS
Virginia MEDICAID 6735983 BLUE CROSS

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