Humm, Bradley Joseph

Humm, Bradley Joseph is an individual health care provider with primary practice located at 165 Natchez Trace Ave Ste 205 , Bowling Green KY 42103-7947. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Humm, Bradley Joseph can be contacted via phone (270) 745-7246.

Contact Information

Primary practice address
165 Natchez Trace Ave Ste 205 Bowling Green KY 42103-7947
Phone: (270) 745-7246
Fax: (270) 282-2027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3003118 Kentucky

Profile Details

NPI number 1134113756
LBN Legal business name Humm, Bradley Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 13th, 2024 - about 7 months 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 1134113756 NPPES
Kentucky MEDICAID 74002023

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