Bliss, Bradley
Bliss, Bradley is an sole proprietor health care provider with primary practice located at 14477 Caberfae Hwy , Wellston MI 49689-9315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bliss, Bradley can be contacted via phone (231) 848-4777.Contact Information
Primary practice address
14477 Caberfae Hwy
Wellston MI 49689-9315
Phone: (231) 848-4777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601007455 | Michigan |
Profile Details
| NPI number | 1114014180 |
|---|---|
| LBN Legal business name | Bliss, Bradley |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114014180 | NPPES |
| Michigan | Other | 5601001299 | MICHIGAN PAC LICENSE |
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