Andersen, Bradley T.
Andersen, Bradley T. is an individual health care provider with primary practice located at 6405 Day St , Riverside CA 92507-0901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Andersen, Bradley T. can be contacted via phone (951) 697-5615.Contact Information
Primary practice address
6405 Day St
Riverside CA 92507-0901
Phone: (951) 697-5615
Fax: (951) 697-5687
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | A89184 | California |
Profile Details
NPI number | 1528018470 |
---|---|
LBN Legal business name | Andersen, Bradley T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Dec 2nd, 2011 - about 13 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528018470 | NPPES |
California | Other | ZZZ31887Z | BILLING LOCATION |
California | Other | 1780782557 | BILLING LOCATION |
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