Mulkey, Bradley D

Mulkey, Bradley D is an individual health care provider with primary practice located at 3525 E Louise Dr Suite 400, Meridian ID 83642. 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. Mulkey, Bradley D can be contacted via phone (208) 322-1680.

Contact Information

Primary practice address
3525 E Louise Dr Suite 400 Meridian ID 83642
Phone: (208) 322-1680
Fax: (208) 685-2282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA511 Idaho

Profile Details

NPI number 1487691176
LBN Legal business name Mulkey, Bradley D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 31st, 2022 - about 2 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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