Tait, Bradley Alan

Tait, Bradley Alan is an sole proprietor health care provider with primary practice located at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum NY 13602-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tait, Bradley Alan can be contacted via phone (315) 772-2778.

Contact Information

Primary practice address
Usa Meddac 11050 Mount Belvedere Blvd Fort Drum NY 13602-0000
Phone: (315) 772-2778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 317171 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10772 Georgia

Profile Details

NPI number 1770046997
LBN Legal business name Tait, Bradley Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2019
Last updated Aug 1st, 2022 - about 4 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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