Michelson, Bradley Keith

Michelson, Bradley Keith is an individual health care provider with primary practice located at 2751 Northgate Dr , Iowa City IA 52245-9509. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Michelson, Bradley Keith can be contacted via phone (319) 338-3606.

Contact Information

Primary practice address
2751 Northgate Dr Iowa City IA 52245-9509
Phone: (319) 338-3606
Fax: (319) 338-0522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 00592 Iowa

Profile Details

NPI number 1356447049
LBN Legal business name Michelson, Bradley Keith
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 18th, 2023 - about last year

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 1356447049 NPPES
Iowa MEDICAID 0665430

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