Brady, Chad

Brady, Chad is an individual health care provider with primary practice located at 5111 Juan Tabo Blvd Ne , Albuquerque NM 87111-2672. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brady, Chad can be contacted via phone (505) 880-1000.

Contact Information

Primary practice address
5111 Juan Tabo Blvd Ne Albuquerque NM 87111-2672
Phone: (505) 880-1000
Fax: (505) 880-1002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 289 New Mexico

Profile Details

NPI number 1891705794
LBN Legal business name Brady, Chad
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated May 24th, 2011 - about 14 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 1891705794 NPPES
New Mexico Other 181866400 ESA
New Mexico Other NM005490 ESA
New Mexico Other 201042850 ESA
New Mexico Other 10004402 ESA
New Mexico Other 4583990001 ESA
New Mexico Other P00078790 ESA
New Mexico Other 536064075 ESA
New Mexico Other PROVB11359 ESA

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