Henriksen, Bradley

Henriksen, Bradley is an individual health care provider with primary practice located at 1735 N State St , Provo UT 84604-1010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Henriksen, Bradley can be contacted via phone (801) 374-1818.

Contact Information

Primary practice address
1735 N State St Provo UT 84604-1010
Phone: (801) 374-1818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD193060 Oregon

Profile Details

NPI number 1467838094
LBN Legal business name Henriksen, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2015
Last updated Jul 14th, 2020 - about 6 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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