Ingraham, Bradley Jason

Ingraham, Bradley Jason is an individual health care provider with primary practice located at 1040 Division St , Mauston WI 53948-1931. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ingraham, Bradley Jason can be contacted via phone (608) 847-5000.

Contact Information

Primary practice address
1040 Division St Mauston WI 53948-1931
Phone: (608) 847-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1073 Wisconsin

Profile Details

NPI number 1659368116
LBN Legal business name Ingraham, Bradley Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 17 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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