Locke, Bradley Allen

Locke, Bradley Allen is an individual health care provider with primary practice located at 2793 Lineville Rd , Green Bay WI 54313-7152. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is his primary health care specialty. Locke, Bradley Allen can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
2793 Lineville Rd Green Bay WI 54313-7152
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55834 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 55834-020 Wisconsin

Profile Details

NPI number 1336300276
LBN Legal business name Locke, Bradley Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Aug 5th, 2014 - about 12 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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