Thomsen, Bradley Robert

Thomsen, Bradley Robert is an individual health care provider with primary practice located at 2534 17Th Ave S Suite 2D, Grand Forks ND 58201-5215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thomsen, Bradley Robert can be contacted via phone (701) 746-8636.

Contact Information

Primary practice address
2534 17Th Ave S Suite 2D Grand Forks ND 58201-5215
Phone: (701) 746-8636
Fax: (701) 746-8827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 649 North Dakota

Profile Details

NPI number 1801888342
LBN Legal business name Thomsen, Bradley Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated May 13th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801888342 NPPES
North Dakota MEDICAID 10583

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