Greene, Bradford
Greene, Bradford is an sole proprietor health care provider with primary practice located at 500 Foothill Blvd , Salt Lake City UT 84148-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Greene, Bradford can be contacted via phone (801) 582-1565.Contact Information
Primary practice address
500 Foothill Blvd
Salt Lake City UT 84148-0001
Phone: (801) 582-1565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 322764-1206 | Utah |
Profile Details
| NPI number | 1295998508 |
|---|---|
| LBN Legal business name | Greene, Bradford |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Jul 7th, 2008 - about 16 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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