Andrew, Bradley B

Andrew, Bradley B is an individual health care provider with primary practice located at 52 N 1100 E , American Fork UT 84003-2952. 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. Andrew, Bradley B can be contacted via phone (801) 769-0901.

Contact Information

Primary practice address
52 N 1100 E American Fork UT 84003-2952
Phone: (801) 769-0901
Fax: (801) 769-0903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6546889-1206 Utah

Profile Details

NPI number 1801013230
LBN Legal business name Andrew, Bradley B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1801013230 NPPES
Utah Other 6546889-1206 STATE LICENSE

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