Michielson, Bradley John

Michielson, Bradley John is an individual health care provider with primary practice located at 1001 Sam Perry Blvd Jean Lockey, Fredericksburg VA 22401-4453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Michielson, Bradley John can be contacted via phone (540) 741-7614.

Contact Information

Primary practice address
1001 Sam Perry Blvd Jean Lockey Fredericksburg VA 22401-4453
Phone: (540) 741-7614
Fax: (919) 873-9821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101054110 Virginia

Profile Details

NPI number 1790776052
LBN Legal business name Michielson, Bradley John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jun 23rd, 2015 - 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 1790776052 NPPES
Virginia MEDICAID 1790776052

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