Pratt, Bradley W

Pratt, Bradley W is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191-6600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pratt, Bradley W can be contacted via phone (702) 653-2344.

Contact Information

Primary practice address
4700 Las Vegas Blvd N Nellis Afb NV 89191-6600
Phone: (702) 653-2344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2014-0095 New Mexico

Profile Details

NPI number 1164484952
LBN Legal business name Pratt, Bradley W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Mar 31st, 2020 - about 4 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 1164484952 NPPES
Colorado MEDICAID 23458739

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