Secrest, Brad Mitchell
Secrest, Brad Mitchell is an individual health care provider with primary practice located at 9720 N Nevada St , Spokane WA 99218-3412. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Secrest, Brad Mitchell can be contacted via phone (509) 464-2273.Contact Information
Primary practice address
9720 N Nevada St
Spokane WA 99218-3412
Phone: (509) 464-2273
Fax: (509) 242-1854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00016543 | Washington |
Profile Details
| NPI number | 1316922610 |
|---|---|
| LBN Legal business name | Secrest, Brad Mitchell |
| Credentials | L.M.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316922610 | NPPES |
| Washington | Other | MA00016543 | STATE LICENSE |
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