Petrous, Jeremy Bradford

Petrous, Jeremy Bradford is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 200 , Grand Rapids MI 49546. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Petrous, Jeremy Bradford can be contacted via phone (616) 391-3759.

Contact Information

Primary practice address
4100 Lake Dr Se Ste 200 Grand Rapids MI 49546
Phone: (616) 391-3759
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5101021240 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 5101021240 Michigan

Profile Details

NPI number 1639584196
LBN Legal business name Petrous, Jeremy Bradford
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Feb 25th, 2021 - about 5 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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