Qualey, Bradley James

Qualey, Bradley James is an individual health care provider with primary practice located at 2024 S 6Th St Ste 3, Brainerd MN 56401-4529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Qualey, Bradley James can be contacted via phone (218) 828-7100.

Contact Information

Primary practice address
2024 S 6Th St Ste 3 Brainerd MN 56401-4529
Phone: (218) 828-7100
Fax: (218) 833-8037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 32730 Minnesota

Profile Details

NPI number 1154319127
LBN Legal business name Qualey, Bradley James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jan 8th, 2016 - about 10 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 1154319127 NPPES
Minnesota MEDICAID 205895200

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