Thomsen, Bradley Robert
Thomsen, Bradley Robert is an individual health care provider with primary practice located at 2534 17Th Ave S Suite 2D, Grand Forks ND 58201-5215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Thomsen, Bradley Robert can be contacted via phone (701) 746-8636.Contact Information
Primary practice address
2534 17Th Ave S Suite 2D
Grand Forks ND 58201-5215
Phone: (701) 746-8636
Fax: (701) 746-8827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 649 | North Dakota |
Profile Details
| NPI number | 1801888342 |
|---|---|
| LBN Legal business name | Thomsen, Bradley Robert |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | May 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801888342 | NPPES |
| North Dakota | MEDICAID | 10583 |
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