Bradley James Boulton
Chiropractor
190 S Second St
Harrison
, Michigan 48625
Bradley James Boulton
Chiropractor
190 S Second St
Harrison
, Michigan 48625
(989) 539-5201
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Bradley James Boulton
- Po Box 308
- Harrison, MI
- Zip : 48625-0308
- Phone : (989) 539-5201
Second Address
- Bradley James Boulton
- 190 S Second St
- Harrison, MI
- Zip : 48625
- Phone : (989) 539-5201
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301005243 | MI |
National Provider Identifier
| NPI | 1003905241 |
|---|---|
| Provider Name | Bradley James Boulton |
| First Address | Harrison, MI 48625-0308 |
| Second Address | Harrison, MI 48625 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 08/07/2007 |
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.