Brady, Karen Mary
Brady, Karen Mary is an individual health care provider with primary practice located at 1205 Grampian Blvd Suite 1D, Williamsport PA 17701-1978. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Brady, Karen Mary can be contacted via phone (570) 320-7880.Contact Information
Primary practice address
1205 Grampian Blvd Suite 1D
Williamsport PA 17701-1978
Phone: (570) 320-7880
Fax: (570) 320-7882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS005273L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS005273L | Pennsylvania |
Profile Details
| NPI number | 1154399178 |
|---|---|
| LBN Legal business name | Brady, Karen Mary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154399178 | NPPES |
| Pennsylvania | MEDICAID | 0013935100006 | |
| Pennsylvania | Other | 819775 | |
| Pennsylvania | Other | 2672912 | |
| Pennsylvania | MEDICAID | 0013935100005 | |
| Pennsylvania | Other | 191347 | |
| Pennsylvania | Other | F42891 | |
| Pennsylvania | Other | 50055619 | |
| Pennsylvania | Other | 5301057 |
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