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Contact Information

BRADLEY A LOCKE, DO
2793 LINEVILLE RD
GREEN BAY, WI54313-7152
 Phone: 920-496-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRADLEY A LOCKE · (Male)

NPI Number 1336300276
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/23/2008
Last updated 08/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 55834
  • WI License # 55834-020
Hospital affiliation(s)
  • ST VINCENT HSPTL - (Acute Care)
    835 S VAN BUREN ST
    GREEN BAY, WI 54301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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