Gerrish, William Bradlee
Gerrish, William Bradlee is an individual health care provider with primary practice located at 629 Avenue D , Snohomish WA 98290-2330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gerrish, William Bradlee can be contacted via phone (360) 568-1554.Contact Information
Primary practice address
629 Avenue D
Snohomish WA 98290-2330
Phone: (360) 568-1554
Fax: (360) 568-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00012586 | Washington |
Profile Details
| NPI number | 1023039153 |
|---|---|
| LBN Legal business name | Gerrish, William Bradlee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Dec 17th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023039153 | NPPES |
| Washington | MEDICAID | 1109701 |
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