Heninger, Bradley James

Heninger, Bradley James is an individual health care provider with primary practice located at 910 Nw 16Th Street Ste 205, Fruitland ID 83619. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Heninger, Bradley James can be contacted via phone (208) 452-3111.

Contact Information

Primary practice address
910 Nw 16Th Street Ste 205 Fruitland ID 83619
Phone: (208) 452-3111
Fax: (208) 452-3666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-1026 Idaho

Profile Details

NPI number 1205103389
LBN Legal business name Heninger, Bradley James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2011
Last updated Feb 17th, 2016 - about 8 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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