Maier, Bradley
Maier, Bradley is an individual health care provider with primary practice located at 2029 E Sims Way , Port Townsend WA 98368-6905. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Maier, Bradley can be contacted via phone (360) 385-5386.Contact Information
Primary practice address
2029 E Sims Way
Port Townsend WA 98368-6905
Phone: (360) 385-5386
Fax: (360) 385-3863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | DD00001098 | Washington |
Profile Details
| NPI number | 1073500476 |
|---|---|
| LBN Legal business name | Maier, Bradley |
| Credentials | |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073500476 | NPPES |
| Washington | MEDICAID | 2022382 |
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