Anderson, Bradley Troy

Anderson, Bradley Troy is an individual health care provider with primary practice located at 19245 7Th Ave Ne , Poulsbo WA 98370-6551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, Bradley Troy can be contacted via phone (360) 782-3500.

Contact Information

Primary practice address
19245 7Th Ave Ne Poulsbo WA 98370-6551
Phone: (360) 782-3500
Fax: (360) 782-3540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60746859 Washington

Profile Details

NPI number 1356769137
LBN Legal business name Anderson, Bradley Troy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2014
Last updated Feb 11th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356769137 NPPES
Washington MEDICAID 2080651

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