Bracey, Slade

Bracey, Slade is an sole proprietor health care provider with primary practice located at 3401 I St Fl 5 , Philadelphia PA 19134-1442. He recently has only one registered license in Agencies / Nursing Care, which is considered as his primary health care specialty. Bracey, Slade can be contacted via phone (215) 923-8042.

Contact Information

Primary practice address
3401 I St Fl 5 Philadelphia PA 19134-1442
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X RN730526 Pennsylvania

Profile Details

NPI number 1073284014
LBN Legal business name Bracey, Slade
Credentials BSN, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 2021 - about 3 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 1073284014 NPPES
Pennsylvania Other RN730526 RN LICENSE

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