Wilcox, Bradley E

Wilcox, Bradley E is an individual health care provider with primary practice located at 411 Laurel St Ste A120 , Des Moines IA 50314-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Wilcox, Bradley E can be contacted via phone (515) 643-7900.

Contact Information

Primary practice address
411 Laurel St Ste A120 Des Moines IA 50314-3027
Phone: (515) 643-7900
Fax: (515) 643-7901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 49087 Minnesota
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 102479 Minnesota
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X DO-03941 Iowa

Profile Details

NPI number 1760401657
LBN Legal business name Wilcox, Bradley E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Nov 11th, 2020 - about 4 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 1760401657 NPPES
Minnesota MEDICAID 841652000

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