Avans, Bradley S

Avans, Bradley S is an individual health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3837. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Avans, Bradley S can be contacted via phone (423) 224-4000.

Contact Information

Primary practice address
130 W Ravine Rd Kingsport TN 37660-3837
Phone: (423) 224-4000
Fax: (423) 224-4746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11668 Tennessee

Profile Details

NPI number 1306808530
LBN Legal business name Avans, Bradley S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Apr 21st, 2014 - about 10 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 1306808530 NPPES
Other 00013859 NHC CARE ADMINISTRATORS
Other 188879 NHC CARE ADMINISTRATORS
MEDICAID 3635995 NHC CARE ADMINISTRATORS
MEDICAID 100049539 NHC CARE ADMINISTRATORS
Other 4117096 NHC CARE ADMINISTRATORS

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