Dr. Bradley John Bush
Naturopath
105 New England Pl Suite 220
Stillwater
, Minnesota 55082-5783
Dr. Bradley John Bush
Naturopath
105 New England Pl Suite 220
Stillwater
, Minnesota 55082-5783
(651) 342-1043
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Bradley John Bush
- 105 New England Pl Suite 220
- Stillwater, MN
- Zip : 55082-5783
- Phone : (651) 342-1043
Second Address
- Dr. Bradley John Bush
- 105 New England Pl Suite 220
- Stillwater, MN
- Zip : 55082-5783
- Phone : (651) 342-1043
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 1010 | MN |
National Provider Identifier
| NPI | 1124236245 |
|---|---|
| Provider Name | Dr. Bradley John Bush |
| First Address | Stillwater, MN 55082-5783 |
| Second Address | Stillwater, MN 55082-5783 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2007 |
| Last Update Date | 16/05/2014 |
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.