Brady, Patricia Ann
Brady, Patricia Ann is an individual health care provider with primary practice located at 222 Southway Ave Ste C, Lewiston ID 83501-2703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brady, Patricia Ann can be contacted via phone (208) 746-1333.Contact Information
Primary practice address
222 Southway Ave Ste C
Lewiston ID 83501-2703
Phone: (208) 746-1333
Fax: (208) 746-8090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M4526 | Idaho |
Profile Details
| NPI number | 1922079037 |
|---|---|
| LBN Legal business name | Brady, Patricia Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Oct 16th, 2008 - about 16 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 | 1922079037 | NPPES |
| Idaho | MEDICAID | 002615300 |
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