Coon, Bradley

Coon, Bradley is an individual health care provider with primary practice located at 1145 Broadway , Seattle WA 98122-4201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Coon, Bradley can be contacted via phone (206) 329-1760.

Contact Information

Primary practice address
1145 Broadway Seattle WA 98122-4201
Phone: (206) 329-1760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10005021 Washington

Profile Details

NPI number 1952592883
LBN Legal business name Coon, Bradley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Mar 21st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952592883 NPPES
Washington MEDICAID 8490161

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