Nace, Bradley A.

Nace, Bradley A. is an individual health care provider with primary practice located at 240 S Main St , Wolfeboro NH 03894-4455. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nace, Bradley A. can be contacted via phone (603) 569-7690.

Contact Information

Primary practice address
240 S Main St Wolfeboro NH 03894-4455
Phone: (603) 569-7690
Fax: (603) 569-7664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA003465L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0003736 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2149 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2307 Idaho

Profile Details

NPI number 1972501849
LBN Legal business name Nace, Bradley A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 31st, 2024 - about last year

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 1972501849 NPPES
Colorado MEDICAID 59036371

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