Persinger, Bradley S.

Persinger, Bradley S. is an individual health care provider with primary practice located at 80 Rockcrest Dr , South Charleston WV 25309-2327. 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. Persinger, Bradley S. can be contacted via phone (304) 542-3927.

Contact Information

Primary practice address
80 Rockcrest Dr South Charleston WV 25309-2327
Phone: (304) 542-3927
Fax: (304) 768-2468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 48580 West Virginia

Profile Details

NPI number 1073625539
LBN Legal business name Persinger, Bradley S.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 21st, 2011 - 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 1073625539 NPPES
West Virginia MEDICAID 2604261000
West Virginia Other 27-3419445

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