Hamilton, Brady G
Hamilton, Brady G is an individual health care provider with primary practice located at 413 N Allumbaugh St Suite 101, Boise ID 83704-9212. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hamilton, Brady G can be contacted via phone (208) 323-1125.Contact Information
Primary practice address
413 N Allumbaugh St Suite 101
Boise ID 83704-9212
Phone: (208) 323-1125
Fax: (208) 323-9604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-754 | Idaho |
Profile Details
| NPI number | 1245221258 |
|---|---|
| LBN Legal business name | Hamilton, Brady G |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Apr 21st, 2021 - about 3 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 | 1245221258 | NPPES |
| Idaho | MEDICAID | 1891820767 |
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