Bradley Allen Locke
Pediatrician Pediatric Allergist
2793 Lineville Rd
Green Bay
, Wisconsin 54313-7152
Bradley Allen Locke
Pediatrician Pediatric Allergist
2793 Lineville Rd
Green Bay
, Wisconsin 54313-7152
(920) 496-4700
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About
Features
Specialties
- Pediatrician
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Bradley Allen Locke
- 2793 Lineville Rd
- Green Bay, WI
- Zip : 54313-7152
- Phone : (920) 496-4700
Second Address
- Bradley Allen Locke
- 2793 Lineville Rd
- Green Bay, WI
- Zip : 54313-7152
- Phone : (920) 496-4700
Reviews
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What type of doctor is Bradley Allen Locke
In what state does Bradley Allen Locke practice in?
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What is Bradley Allen Locke ’s gender?
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Does Bradley Allen Locke have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 55834 | WI |
| Y | 2080P0201X | Pediatric Allergist | 55834-020 | WI |
National Provider Identifier
| NPI | 1336300276 |
|---|---|
| Provider Name | Bradley Allen Locke |
| First Address | Green Bay, WI 54313-7152 |
| Second Address | Green Bay, WI 54313-7152 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2008 |
| Last Update Date | 05/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.