Hanebrink, Bradley Gregg

Hanebrink, Bradley Gregg is an individual health care provider with primary practice located at 1401 W 5Th St Sheridan Memorial Hospital, Sheridan WY 82801-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hanebrink, Bradley Gregg can be contacted via phone (307) 672-1000.

Contact Information

Primary practice address
1401 W 5Th St Sheridan Memorial Hospital Sheridan WY 82801-2705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5140A Wyoming

Profile Details

NPI number 1467544007
LBN Legal business name Hanebrink, Bradley Gregg
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated May 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467544007 NPPES
Wyoming MEDICAID 103008600
Wyoming Other 305980

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