Patrick, Bradley

Patrick, Bradley is an sole proprietor health care provider with primary practice located at 1 Madrone St , Willits CA 95490-4225. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Patrick, Bradley can be contacted via phone (707) 456-3100.

Contact Information

Primary practice address
1 Madrone St Willits CA 95490-4225
Fax:
Website:

Health care specialties

Profile Details

NPI number 1508948100
LBN Legal business name Patrick, Bradley
Credentials CRNA, DNP, MBA, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Jun 27th, 2017 - about 7 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 1508948100 NPPES
Maine Other ME-1670 MAINE MEDICARE

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