Nielsen, Bradley P

Nielsen, Bradley P is an individual health care provider with primary practice located at 1954 Fort Union Blvd , Salt Lake City UT 84121-6800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nielsen, Bradley P can be contacted via phone (801) 993-9530.

Contact Information

Primary practice address
1954 Fort Union Blvd Salt Lake City UT 84121-6800
Phone: (801) 993-9530
Fax: (801) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2373399-1205 Utah

Profile Details

NPI number 1457359317
LBN Legal business name Nielsen, Bradley P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 11th, 2007 - about 18 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 1457359317 NPPES
Utah MEDICAID D0558

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