Sands, Bradley Alen

Sands, Bradley Alen is an individual health care provider with primary practice located at 1188 South State Route 157 , Edwardsville IL 62025. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Sands, Bradley Alen can be contacted via phone (618) 220-1234.

Contact Information

Primary practice address
1188 South State Route 157 Edwardsville IL 62025
Phone: (618) 220-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209019065 Illinois

Profile Details

NPI number 1265993646
LBN Legal business name Sands, Bradley Alen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Jul 15th, 2020 - about 5 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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