Brady, James O.

Brady, James O. is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Brady, James O. can be contacted via phone (570) 820-6150.

Contact Information

Primary practice address
1000 E Mountain Blvd Wilkes Barre PA 18711-0027
Phone: (570) 820-6150
Fax: (570) 820-6174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD032276E Pennsylvania

Profile Details

NPI number 1750554986
LBN Legal business name Brady, James O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Aug 12th, 2020 - about 5 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 1750554986 NPPES
Pennsylvania MEDICAID 001130627

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