Christ, Bradley Clifford
Christ, Bradley Clifford is an individual health care provider with primary practice located at 3901 Capital Mall Dr Sw Ste A, Olympia WA 98502-8654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Christ, Bradley Clifford can be contacted via phone (360) 491-8439.Contact Information
Primary practice address
3901 Capital Mall Dr Sw Ste A
Olympia WA 98502-8654
Phone: (360) 491-8439
Fax: (360) 491-6328
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD60668500 | Washington |
Profile Details
NPI number | 1659675684 |
---|---|
LBN Legal business name | Christ, Bradley Clifford |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2011 |
Last updated | Aug 25th, 2020 - about 4 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 | 1659675684 | NPPES |
Washington | MEDICAID | 2063539 |
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