Brown, Bradly Kenneth Leroy
Brown, Bradly Kenneth Leroy is an individual health care provider with primary practice located at 2730 Channing Way , Idaho Falls ID 83404-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brown, Bradly Kenneth Leroy can be contacted via phone (208) 542-7100.Contact Information
Primary practice address
2730 Channing Way
Idaho Falls ID 83404-5049
Phone: (208) 542-7100
Fax: (208) 542-7150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA965 | Idaho |
Profile Details
| NPI number | 1043598477 |
|---|---|
| LBN Legal business name | Brown, Bradly Kenneth Leroy |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2011 |
| Last updated | Sep 13th, 2016 - about 8 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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