Nicholson, Bradley L.

Nicholson, Bradley L. is an individual health care provider with primary practice located at 747 Broadway , Seattle WA 98122-4379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Nicholson, Bradley L. can be contacted via phone (206) 386-6000.

Contact Information

Primary practice address
747 Broadway Seattle WA 98122-4379
Phone: (206) 386-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00037334 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00037334 Washington

Profile Details

NPI number 1891750014
LBN Legal business name Nicholson, Bradley L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 29th, 2010 - about 14 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 1891750014 NPPES
Washington MEDICAID 8325581

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