Brady, Laura Christine

Brady, Laura Christine is an individual health care provider with primary practice located at 428 E 370 S , Dietrich ID 83324-5202. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Brady, Laura Christine can be contacted via phone (208) 490-4122.

Contact Information

Primary practice address
428 E 370 S Dietrich ID 83324-5202
Phone: (208) 490-4122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OTA-158 Idaho

Profile Details

NPI number 1598189425
LBN Legal business name Brady, Laura Christine
Credentials C.O.T.A/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2014
Last updated Feb 12th, 2014 - about 11 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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