Edgerton, Bradly J

Edgerton, Bradly J is an individual health care provider with primary practice located at 1405 Se 164Th Ave Ste 102 , Vancouver WA 98683-9644. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Edgerton, Bradly J can be contacted via phone (360) 256-4425.

Contact Information

Primary practice address
1405 Se 164Th Ave Ste 102 Vancouver WA 98683-9644
Phone: (360) 256-4425
Fax: (360) 260-7249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00001333 Washington

Profile Details

NPI number 1861587891
LBN Legal business name Edgerton, Bradly J
Credentials PH.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 17th, 2014 - about 11 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 1861587891 NPPES
Washington Other 8935297 WA CRIME VICTIMS
Washington Other 0117625 WA CRIME VICTIMS
Washington MEDICAID 182440 WA CRIME VICTIMS
Washington Other 4520896 WA CRIME VICTIMS
Washington MEDICAID 9059056 WA CRIME VICTIMS

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