Massey, Brad H

Massey, Brad H is an sole proprietor health care provider with primary practice located at 348 Knight Rd , Sumrall MS 39482-3702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Massey, Brad H can be contacted via phone (601) 606-6326.

Contact Information

Primary practice address
348 Knight Rd Sumrall MS 39482-3702
Phone: (601) 606-6326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R814032 Mississippi

Profile Details

NPI number 1164537445
LBN Legal business name Massey, Brad H
Credentials AACNP, ANP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Mar 14th, 2016 - about 9 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 1164537445 NPPES
Mississippi Other 640507572PO AMERICAN ADMIN GROUP
Mississippi MEDICAID 1582531 AMERICAN ADMIN GROUP
Mississippi MEDICAID 00124846 AMERICAN ADMIN GROUP

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