Vanassche, Bradley T

Vanassche, Bradley T is an individual health care provider with primary practice located at 1114 Charlevoix Ave , Petoskey MI 49770-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vanassche, Bradley T can be contacted via phone (231) 439-9700.

Contact Information

Primary practice address
1114 Charlevoix Ave Petoskey MI 49770-9701
Phone: (231) 439-9700
Fax: (231) 439-9709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301055847 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X BV055847 Michigan

Profile Details

NPI number 1497775514
LBN Legal business name Vanassche, Bradley T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Oct 17th, 2019 - about 5 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 1497775514 NPPES
Michigan MEDICAID 3152928
Michigan Other P00957391
Michigan Other 300Z460020

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