Mcbride, Nathan C
Mcbride, Nathan C is an individual health care provider with primary practice located at 6028 S Ridgeline Dr Ste 201, Ogden UT 84405-6914. 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. Mcbride, Nathan C can be contacted via phone (801) 475-5400.Contact Information
Primary practice address
6028 S Ridgeline Dr Ste 201
Ogden UT 84405-6914
Phone: (801) 475-5400
Fax: (801) 475-8614
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2854591206 | Utah |
Profile Details
NPI number | 1114915741 |
---|---|
LBN Legal business name | Mcbride, Nathan C |
Credentials | PA C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 7th, 2005 |
Last updated | Aug 17th, 2020 - about 4 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 | 1114915741 | NPPES |
Utah | MEDICAID | 87065316400Z | |
Utah | Other | 107004880101 |
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