Harnetiaux, Bradford J

Harnetiaux, Bradford J is an individual health care provider with primary practice located at 1414 N Vercler Building 1, Spokane Valley WA 99216-1092. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Harnetiaux, Bradford J can be contacted via phone (509) 928-6383.

Contact Information

Primary practice address
1414 N Vercler Building 1 Spokane Valley WA 99216-1092
Phone: (509) 928-6383
Fax: (509) 926-9420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30001441 Washington

Profile Details

NPI number 1487718623
LBN Legal business name Harnetiaux, Bradford J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 1st, 2011 - about 13 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 1487718623 NPPES
Washington MEDICAID 1011616

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