Brady, John

Brady, John is an individual health care provider with primary practice located at 1801 Us Highway 18 E , Clear Lake IA 50428-2162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brady, John can be contacted via phone (641) 357-1999.

Contact Information

Primary practice address
1801 Us Highway 18 E Clear Lake IA 50428-2162
Phone: (641) 357-1999
Fax: (641) 357-1997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02940 Iowa

Profile Details

NPI number 1154382513
LBN Legal business name Brady, John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 14th, 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 1154382513 NPPES
Iowa Other 1154382513 WELLMARK
Iowa Other 080179260 WELLMARK
Iowa MEDICAID 1154382513 WELLMARK

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