Brady, Michael B
Brady, Michael B is an individual health care provider with primary practice located at 19 E Genesee St , Auburn NY 13021-4058. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Brady, Michael B can be contacted via phone (315) 253-8408.Contact Information
Primary practice address
19 E Genesee St
Auburn NY 13021-4058
Phone: (315) 253-8408
Fax: (315) 258-8136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 048269 | New York |
Profile Details
| NPI number | 1972526127 |
|---|---|
| LBN Legal business name | Brady, Michael B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972526127 | NPPES |
| New York | MEDICAID | 02359997 |
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