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
Fax: (951) 697-5687
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528018470 NPPES
California Other ZZZ31887Z BILLING LOCATION
California Other 1780782557 BILLING LOCATION

Popular Providers