Petrous, Jeremy Bradford
Petrous, Jeremy Bradford is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 200 , Grand Rapids MI 49546. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Petrous, Jeremy Bradford can be contacted via phone (616) 391-3759.Contact Information
Primary practice address
4100 Lake Dr Se Ste 200
Grand Rapids MI 49546
Phone: (616) 391-3759
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101021240 | Michigan |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 5101021240 | Michigan |
Profile Details
NPI number | 1639584196 |
---|---|
LBN Legal business name | Petrous, Jeremy Bradford |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2014 |
Last updated | Feb 25th, 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.
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