Irwin, Bradley

Irwin, Bradley is an individual health care provider with primary practice located at 1012 E 2Nd St , Duluth MN 55805-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Irwin, Bradley can be contacted via phone (218) 249-7940.

Contact Information

Primary practice address
1012 E 2Nd St Duluth MN 55805-2200
Phone: (218) 249-7940
Fax: (218) 249-7949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 52795 Minnesota

Profile Details

NPI number 1366547705
LBN Legal business name Irwin, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jan 26th, 2017 - about 9 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 1366547705 NPPES
Michigan MEDICAID 104948020
Michigan Other BI082468

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