Lewis, Bradley K

Lewis, Bradley K is an individual health care provider with primary practice located at 1126 Draper Pkwy , Draper UT 84020-9095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lewis, Bradley K can be contacted via phone (801) 545-0600.

Contact Information

Primary practice address
1126 Draper Pkwy Draper UT 84020-9095
Phone: (801) 545-0600
Fax: (801) 545-0626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 94-277413-1205 Utah

Profile Details

NPI number 1871609222
LBN Legal business name Lewis, Bradley K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 27th, 2013 - about 11 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 1871609222 NPPES
Utah MEDICAID 870639098001

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