Adams, Bradley E

Adams, Bradley E is an individual health care provider with primary practice located at 2205 Main St , Tyndall SD 57066-2324. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Adams, Bradley E can be contacted via phone (605) 464-0545.

Contact Information

Primary practice address
2205 Main St Tyndall SD 57066-2324
Phone: (605) 464-0545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1185 Nebraska

Profile Details

NPI number 1336141118
LBN Legal business name Adams, Bradley E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336141118 NPPES
Nebraska Other 06154 BLUE CROSS BLUE SHIELD NE

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