Mitchell, Bradford Kent
Mitchell, Bradford Kent is an sole proprietor health care provider with primary practice located at 4660 S. Hagadorn Road Suite 600, East Lansing MI 48823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mitchell, Bradford Kent can be contacted via phone (517) 267-2460.Contact Information
Primary practice address
4660 S. Hagadorn Road Suite 600
East Lansing MI 48823
Phone: (517) 267-2460
Fax: (517) 267-2462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C1-0023939 | Delaware |
Profile Details
| NPI number | 1679667091 |
|---|---|
| LBN Legal business name | Mitchell, Bradford Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jan 7th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679667091 | NPPES |
| West Virginia | MEDICAID | 0126711000 |
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