Conrad, Bradley Dean

Conrad, Bradley Dean is an sole proprietor health care provider with primary practice located at 3651 Byron Center Ave Sw , Wyoming MI 49519-3665. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Conrad, Bradley Dean can be contacted via phone (616) 530-0151.

Contact Information

Primary practice address
3651 Byron Center Ave Sw Wyoming MI 49519-3665
Phone: (616) 530-0151
Fax: (616) 530-0205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301006548 Michigan

Profile Details

NPI number 1174646251
LBN Legal business name Conrad, Bradley Dean
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jul 12th, 2010 - about 16 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 1174646251 NPPES
Michigan MEDICAID 1972685
Michigan Other 950D150450

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