Tait, Bradley Alan
Tait, Bradley Alan is an sole proprietor health care provider with primary practice located at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum NY 13602-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tait, Bradley Alan can be contacted via phone (315) 772-2778.Contact Information
Primary practice address
Usa Meddac 11050 Mount Belvedere Blvd
Fort Drum NY 13602-0000
Phone: (315) 772-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 317171 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 10772 | Georgia |
Profile Details
| NPI number | 1770046997 |
|---|---|
| LBN Legal business name | Tait, Bradley Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2019 |
| Last updated | Aug 1st, 2022 - about 2 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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