Michaels, Robert Bradley

Michaels, Robert Bradley is an individual health care provider with primary practice located at 20 The Legends Pkwy , Eureka MO 63025-3801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Michaels, Robert Bradley can be contacted via phone (636) 938-3399.

Contact Information

Primary practice address
20 The Legends Pkwy Eureka MO 63025-3801
Phone: (636) 938-3399
Fax: (636) 938-9609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2006004440 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1992735237
LBN Legal business name Michaels, Robert Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 27th, 2018 - about 7 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 1992735237 NPPES
Missouri Other P00657168 RAILROAD MEDICARE
Missouri MEDICAID 1992735237 RAILROAD MEDICARE

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