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Contact Information

NICHOLAS BRADLEE DPM PC
1909 LIVERNOIS
TROY, MI48083
 Phone: 248-244-9565
 Fax: 248-244-8183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NICHOLAS BRADLEE DPM PC · (Female)

NPI # 1497860464
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2006
Last updated 11/20/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # NB000558
  • Other 5635277 BLUE CROSS
  • Other 5635277 BLUE CROSS BLUE SHIELD
  • Other 8505050 BLUE CROSS BLUE SHIELD
  • Other 8505050 BLUE SHIELD OF MICH
Hospital affiliation(s) Not Available
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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