Craig, Bradley Robert

Craig, Bradley Robert is an individual health care provider with primary practice located at 810 Jasmine St , Omak WA 98841-9578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Craig, Bradley Robert can be contacted via phone (509) 826-1760.

Contact Information

Primary practice address
810 Jasmine St Omak WA 98841-9578
Phone: (509) 826-1760
Fax: (509) 826-7211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00025051 Washington

Profile Details

NPI number 1790737310
LBN Legal business name Craig, Bradley Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790737310 NPPES
Washington Other 254327 L&I

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