Sidener, Bradley James

Sidener, Bradley James is an individual health care provider with primary practice located at 15 Mccabe Dr Ste 101 , Reno NV 89511-4815. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sidener, Bradley James can be contacted via phone (775) 788-5599.

Contact Information

Primary practice address
15 Mccabe Dr Ste 101 Reno NV 89511-4815
Fax: (775) 788-5598
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0462 Nevada

Profile Details

NPI number 1396826632
LBN Legal business name Sidener, Bradley James
Credentials P.T., CERT. MDT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396826632 NPPES
Nevada Other 6500181191 RAILROAD MEDICARE

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