Reatherford, Bradley

Reatherford, Bradley is an individual health care provider with primary practice located at 221 Northeast Ave , Peoria IL 61636-0001. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Reatherford, Bradley can be contacted via phone (309) 672-5654.

Contact Information

Primary practice address
221 Northeast Ave Peoria IL 61636-0001
Phone: (309) 672-5654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041334740 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209007657 Illinois

Profile Details

NPI number 1326288812
LBN Legal business name Reatherford, Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2009
Last updated Jul 12th, 2009 - about 15 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.

Request for update

Popular Providers