Page, Bradford R.

Page, Bradford R. is an individual health care provider with primary practice located at 1188 University Dr , Boise ID 83706. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Page, Bradford R. can be contacted via phone (208) 336-8250.

Contact Information

Primary practice address
1188 University Dr Boise ID 83706
Phone: (208) 336-8250
Fax: (208) 345-9514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT664 Idaho

Profile Details

NPI number 1639175276
LBN Legal business name Page, Bradford R.
Credentials MS, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Aug 16th, 2018 - about 6 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 1639175276 NPPES
Idaho MEDICAID 1639175276

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