Demeuse, Bradley Keith

Demeuse, Bradley Keith is an individual health care provider with primary practice located at 5246 N Royal Dr Ste B , Traverse City MI 49684-6984. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Demeuse, Bradley Keith can be contacted via phone (231) 929-0303.

Contact Information

Primary practice address
5246 N Royal Dr Ste B Traverse City MI 49684-6984
Phone: (231) 929-0303
Fax: (231) 929-0305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5501015699 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501015699 Michigan

Profile Details

NPI number 1235484676
LBN Legal business name Demeuse, Bradley Keith
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Aug 22nd, 2014 - about 11 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 1235484676 NPPES
Michigan Other P01332469 RAILROAD MEDICARE

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